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1979, 07-06 Permit: 79-185 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 22nd AVENUE, E. 16303 LOT 2. 18 3 BLOCK OWNER 2 SUBDIVISION Ridgemont Fstatec CRAIG W. McDONALD PHONE 928-3451 LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S ADDRESS N. 1105 Warren Rd ZIP 99216 CONTRACTOR EMERSON PLUMBING 4- ADDRESS PHONE 535-4222 P.O.BOX 3432 TA, DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. • PLMB. ZIP 99220 PHONE ZIP TO ❑ AD'N. 0 MECH: O RPL. O M.H. ❑ MVE. ❑ POOL ❑ OTHER DESCRIBE WORK 8. 18 Fixtures VALUATION 9. Source of Utilities GAS ELECTRIC Required Set Backs in Feet North South East Size of Parcel Type Const. Occupancy West Zone Classification Sprinklered ❑ Yes ❑ No ❑ Req'd. Valuation DWL Area Basement Area Split Entry No. Baths Building Area in Sq. Ft. Garage Area Split Level No. Floors CERTIFICATE of EXEMPTION WATER Storage Rancher No. Rooms 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 Req'd. 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 Rec. Room Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing 48.00 Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 48.00 DATE PERMIT NUMBER 79- / .5's" duly 6, 1979 03* *4800 *4800 v~5 184 07-06-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 07-06,-79 18.55' *48,00°h