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1980, 11-05 Permit: 80B-3280 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 4 COPIES JOB ADDRESS LOT 2. BLOC C 04"// (1I/q — K SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S OWNER /� /' 3 of .a r/,6 ., i.lof t ADDRESS f £ 1 ,e,i.� y- CCONTRAC Ori 4. ADDRESS �rt/ # M„01, 07 PH NE 4 //7/ ZIP 1rof7• Required Set Backs in Feet North 'South East West PHONE 1 $7 Size of Parcel I Zone Classification DESIGNER 5. ADDRESS ZIP ey�."j PHONE Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation (Building Area in Sq. Ft. ZI P DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Split Entry Split Level Rancher kr NEW ❑ BLD. ❑ 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. DESCRIBE WORK , ,+J 8. #1 t ' - Gra; y{/ 4,4+/%// VALUATION Sourc GAS of 9. Utilities ELECT RIC 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 /d//2019. SIGNATURE, DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: �a-�-E'6 I� DATE OFFICIAL, /`440s�✓2 i t<"� APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ DATE PERMIT NUMBER 03* *4300 *43.00 17) *43.006 A *000 327.92 01=15-80 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOM4SA PERMIT. 011 5 8;0 4'5.0.01 g