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1982, 12-17 Permit: 82B-2013 Plumbing FixturesPLAN 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 3 COPIES 2. JOB AD >ESS 6/96) / ��.Lf LOT L CK SUB 'VISION i �/ / /6D 4 C LEGAL DESCRIPTION - SEE ATTACHED �LJ / t PARCEL NUMBER /S NS OW 3. , /7(4)5 6( � o,o ADD FS' S Y / 31 regEL , r CON. ACT R 4' AD ESS eu m, (,;,67 , &All 0,1 3g7)/ DESIGNER 5. ADDRESS PHONE ZIP Actual Set Backs in Feet North 'South East 'West PHONE Size of Parcel Zone Classification PHONE Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK NEW BLD. 8. 9. DESCRIBE WORK !/ VALUATION ❑ ALT. 74 PLMB. Pik ❑ AD'N. ❑ RPL. ❑ MECH. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings SOURCE OF UTILITIES GAS 1 ELECTRIC CERTIFICATE of EXEMPTION Enum. Dist. I Location (Area) Req'd. Rec'd. Not Req'd. WATER SEWER Ownership Public ❑ Private ❑ USE CODE I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ordinances governing this permit does not pre e lating co r truction r, he on reverse side, and know the same to be true and correct. All provisions of laws an type of work will be complied with whether specified herein or not. The granting of, to give authority to violate or cancel the provisions of any other state or local law re . performance of construction. SEE REVERS SIDE FOR REQUIRED INSPECTION DATE OF APPLICATION SIGNATURE OF APPLICANT SPEC.AL APPROVALS SPECIAL CONDITIONS: Env. Health Planning Fire Marshall Co. Engineer Utilities NAME DATE Plans Examiner SEPA Checklist Z wfL (rev -S ' 1- 'id-- (I 7 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER - X13 03* *4'9.00 *49,006 A *0.00 201.2-2 12 -17 -82 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 2'0L3z *49.0Oa17-1; - PERMIT NO. TOTAL