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1979, 09-24 Permit P79-4607 Soft WtrPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LOT B OCK SUBDIVISION OWN 3.��-� ADD ES CONTRA' OR 4. ADDRESS/ 4) .5Yo DESIGNER PHONE ( L9%fr ZIP PH NE Z4 () PHONE LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Required Set Backs In Feet North South Size of Parcel Type Const. East Zone West Classification Occupancy Sprinklered ❑Yes ❑No 0 Req'd. Valuation Building Area in Sq. Ft. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK ❑ NEW ❑ BLD. 0 ALT. PLMB. ZIP TO ❑ AD'N. ❑ MECH: ❑ RPL. 0 M.H. ❑ MVE. O POOL 0 OTHER DWL Area I Basement Area Garage Area Storage Split Entry Split Level Rancher DESCRIBE WORK VALUATION 9. Source of Utilities GAS No. Baths No. Floors CERTIFICATE of EXEMPTION ELECTRIC WATER X SEWER No. Rooms Rec. Room Req'd. Rec'd. Not Req'd. I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. DATE SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $( C )/ p PERMIT NUMBER �2/ DATE 035 *5.50 *5,50 *550� L y, O. 0 0 460,6- 09-24-79 - 6 479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE OFFICI PPR06" A FOR ISSUANCE 09'-24''-719 460,75 *5,5'0;a