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1979, 07-02 Permit: 79-31 Plumbing Fixtures
IP AN NUMBER APPLICANT: CO JOB ADDRESS 1.S•�L-/j LOT LOCK BLUFF PP1VE- SUBDIVISION APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 MPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES LEGAL DESCRIPTION - SEE ATTACHED 2. 12. MICA PARK ADD/Ti©N OWNER A.. NI -TRA 3. MM-i'fi7NG Ly CaN_s-rguc nNI ADDRESS 5• LA/06 SU1_L._It)AN 124)Ada CONTRACTOR R4,ms 4 Ti^�UE-'—MP 'NC. PHONE `�-291`j ZI P 9c/2_.0G PARCEL NUMBER/S Pm of 2oS `-(3 -9azg • ADDRESS N. '7z 20 MMK. KET DESIGNER 5. ADDRESS PHONE t?3-To4Z4 ZIP PHONE ZI P Required Set Backs in Feet North (South East 'West Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK 8. ❑ NEW ❑ BLD. DESCRIBE WORK VALUATION ❑ ALT. PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. /i4 e ti PLUMPING. 9. 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 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: DATE OFFICIAL APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing 3. Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 33%, - PERMIT NUMBER -79 DATE 03* *3300 *33,00 t5 302 07-02-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMESA PERMIT. 07-02-79 3,12 *33,00°J INCPF!`Tf1 RECORD OF INSPECTIONS DATE REMARKS Ne. Final Inspection INSPECTED BY FIAO 0.1 -05 -Aa 4210- 42200