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1982, 11-03 Permit: 82B-0535 Plumbing Fixtures
Size of Parcel PLAN 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 LOT BLOCK 0`/5. "et ,6vs SUBDIVISION OWNER 3. �7�f4 I1(.'L 4 y ADDRESS / 4. 5. ADDRESS PHONE ZI P CON ACTOR PHONE �/ Oc.� s PSL /�CI{I�soic.r¢L 4-Ut /a /"3/Z3 ADDRESS ZIP J3,2©3z,ec•5 DESIGNER CHANGE OF USE FROM 6. TYPE 7. OF WORK PHONE ZIP TO f .NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. ( PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S DESCRIBE WORK / D icix.zvv- r r VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Actual Set Backs in Fee. North !South East 'West Type Const. Occupancy Valuation Main Floor Upper Floors Area of Decks No. Baths Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Storage Unfin. Basement No. Rooms Location (Area) 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 regu . ' construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION /1- 3 4."7—SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: we - of QA.s/ k5 1 S/,'fC. I -rug I 4.0c4)70 t F� I 1/4)-14 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE No. of Dwellings Rec'd. Not Req'd. FEES COLLECTED Single $ Building ear— Plumbing Ls Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 03* *45.00 *45006 *0.00 8 5342 1 1 -0382 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1'1 03-82 DATE ISSUED '53.55 PERMIT NO. *45.00°H — TOTAL