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1982, 06-08 Permit: 82A-4649 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 JOB ADDRESS N. 0,'1 �3Ess.�c LEGAL DESCRIPTION — SEE ATTACHED LOT 2. BLOCK SUBDIVISION PARCEL NUMBER/S OWNER 3. . de. i‘V-C.CDt ADDRESS N_g1.\ PHONE E5s ZIP Actual Set Backs in Feet North 'South East (West 4. CONTRACTOR C-, E eLw,c-t-k PHONE Size of Parcel I Zone Classification ADDRESS DESIGNER 5. ADDRESS ZIP 4 Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation (Building Area in Sq. Ft. ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7, OF WORK ❑ NEW O BLD. 0 ALT. 0 AD'N. fciRPL. ❑ MVE. 0 OTHER Ll! PLMB. 0 MECH. 0 M.H. 0 POOL No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. (2% E.-0c.Ac. 1 cLK:t- c�a✓ S VALUATION 9. SOURCE OF UTILITIES GAS Enum. Dist. Location (Area) ELECTRIC 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 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF ARPLICATIONI�J� � — SIGNATURE OF APPLICANTX, SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Buil ing T nician SPECIAL CONDITIONS: i.144.ANi2-'1 R2f'ssi PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing A Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER 2i -4-4o4' 03* *1300 * 13.00 * 1300 R *0.00 0 464,88 06-08-82 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Oft(4 8.P i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 46491 *13.00°0) -