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1979, 07-19 Permit 79-733 Replace Roof TrussesPLAN 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 V��jJDRESS eT 17711 6\041' LOT '" BLOCK SUBDIVISION 3 4. OWNER 11M51-1 1'1 ADDRESS 1�, 1 7711 i017l/W vorve ADDR Sr� •'� <i - DESIGNER ADDRESS PHONE ZIP PHONE ZIP LEGAL DESCRIPTION — SEE ATTACHED PARCEL,NUMBER/S Ib-31r-56' Required Set Backs in Feet North 'South�� Size of Parcel Valuation DWL Area I Basement Area East Ip' 'West ZZne Classification C�c„ Spr nklered Des No ❑ Req'd. Building Area in Sq. Ft. Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ,❑NEW ❑ ALT. ❑ AD'N. LLT RPL. ❑ MVE. LYJ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL ❑ OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. 8. 9. DESCRIBE WORK VVirTk 17AH 1950 Source of Utilities GAS ELECTRIC WATER SEWER 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 go g this type of work will be complied with whether specified herein or not. The gr. 'ti •g of a permit do-: not . esume to give authority to violate or cancel the provisions of any other state or .cal .w regulatio� ruc '.n or the n performance construction. DATE DEPT. CIAL APPROVALS REC'D. REC'D. SIGNATU Env. Health Planning X/9 Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE1/ 1/ /9 OFFICI FEES COLLECTED Single $ Building �1 r 00 Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER `7y - DATE 02* *31.00 *31.00 n *31,00'8 A *Q00 n 73122 07-19-79 A 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 07-19-79 73,3c) *31000J APP'.1YI FIR ISSUANCE 4 /N, [1\ fi t?h�it