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1979, 09-07 Permit 79-3555 ResidencePLAN NUA APPLII© u fl 01 M/PERMIFu' SPOKANE COUNTY — BUILDING CODES DMBAH MENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 /7VO5 JOB ADDRESS 1.-"=7, LOT Bl APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES N SUB? VISION �•-tom, c vL , . c' q OW 3. ADDRESS / 1 0- 3 e • (�,�'ns -j� (ADDRESS es 2- 5' ADDRESS J 1 6. DE IGN 4/' R / CHANGE OF USE FROM Gar TO PHONE 41 -.5o7/ ZIP OiNEC) ) H NE ij.9 7— 44 9 / ZIP PHONE ZIP LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S � Oy_ I95- ?� _n + Oa) N e NMI Tl i CtI • • et Backs In Feetet/� '%/j / North � Z i ISouth 3f East 24 /2'IWest L (J 1/ Size of Parcel Type Const. Occupa cy r,�0 At: Valuatlon d0 Zone Ctassifica tion iprinkiered ❑Yes 1INo 0 Req'd. Building rea In Sq Ft. DWL Are. Base ent rea Garage Ar-a Storage Spilt Entry pli Level Rancher TYPE 7. OF WORK L9 NE ❑ ALT. ❑ AD'N, ❑ RPL. ❑ MVE. BLD. I7 PLMB. ❑ MECH: ❑ M.H. ❑ POOL ❑ OTHER Noaths No. Floors CERTIFICATE of EXEMPTION No. Rooms Req'� DESCRIBL, ORK 8. u, v�,�at" 7 20- /VALUATION 9:1_6 410o On Source f Utiilll ies GAS G4),10. P ELECTRIC to li) P WATER Cf •liao-4 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 t -ive authority to violate or cancel the provisions of any other state or local taw regulating construction or the ormance of Construction. SEWcR DATE SIGNATURE"/Ul3 Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE Ofixorosi OFFICIALS ' < Rec. Room RRec'/d. >< Not Req'd. FEES COLLECTED Single $ d° Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ DATE PERMIT NUMBER 02* *8200 *8200 'co *82006 A *000 8 3554/ 09-07-y79 £ 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09-07 79 35555 *'82,000J APPROVED FOR ISSLI NCE PERMIT NO. e2'9 , Spokane County Planning Departmen Short Plat Exemption Certificate 1. WAS THIS PARCEL SEGREGATED BEFORE MARCH 13, 1978, OR WAS APPLICATION TO SEGREGATE MADE BEFORE MARCH 13, 1978 ? (exempt under section 3.385 of Short Plat Ordinance) 2. IS THIS PARCEL 10 ACRES IN SIZE OR LARGER ? (exempt under section 3.3E of Short Plat Ordinance) YES 3. WILL THIS PARCEL BE USED FOR A PUBLIC UTILITY FACILITY ? YES (exempt under section 3.364 of Short Plat Ordinance) 4. IS THIS SEGREGATION BEING ACCOMPLISHED TO EFFECT A MINOR BOUNDARY OR PROPERTY LINE ADJUSTMENT, BUT NOT CREATING ANY NEW LOTS OR CAUSING OTHER LOTS TO FALL BELOW MINIMUM ZONING STANDARDS FOR SIZE SHAPE OR FRONTAGE, OR AFFECTING ROAD ACCESS TO ANY OTHER LOTS ? (exempt under section 3.3H of Short Plat Ordinance) 5. IS THIS PARCEL ZONED RESIDENTIAL OFFICE. LOCAL BUSINESS, COMMERCIAL, FREEWAY COMMERCIAL, INDUSTRIAL OR MANUFACTURING ? (exempt under section 3.364 of Short Plat Ordinance) APPROVED BY: R4 lF h' 4i4 NO sic t YES YES DATE:Y/°5'/79 I hereby certify the answers I have offered in connection with obtaining this exemption are true APPLICANT'S SIGNATURE.c— DATE: / / �ENIf1E 4J•IVIN0 iREEEHSON STNEET SPOKtppt ,n!rNTQN 994b I monk 44p?-?2L / )0c J 0 2 PR a Posso u5/0.6We. ' ,C3ROAO aJAV AVE