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1980, 10-28 Permit: 80B-2804 Plumbing FixturesAPPLICATION/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 1. 2. 3. JOB ADDRESS S. 1710 Burns Rd. (Job No. 146) LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION OWNER R & R Construction (Dick Reeves) PHONE 928-3610 PARCEL NUMBER/S ADDRESS .0. Box 14217, Spokane, Wash. ZIP 99214 Actual Set Backs in Feet North 'South East 'West 4. CONTRACTOR Miller's Plumbing PH83-ONE 42025 Size of Parcel 1 Zone Classification ADD E. 623 Liberty, Spokane, Wash. ZIP 99207 Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5' ADDRESS PHONE Valuation )Building Area in Sq. Ft. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement iX1 NEW ❑ ALT. ❑ AD'N. ❑ RPL. D MVE. y 0 OTHER ❑ BLD. IXi 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 s. Plumbing installation - New - SFR Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public ❑ Private ❑ USE CODE 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 APPLICATION 10-27-80 SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SIGNATURE OF APPLICANT SPECIAL CONDITIONS: 14 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $38.00 • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) Fee 35.00 3.00 TOTAL $ 38.00 PERM . NUME =R PI e).6' -iso 1-- 03* *3800 *3r.0C ; *38006 A *0.00 28032 10-28-80 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. lU'-X84110280.4i *38.00 DATE ISSUED PERMIT NO. TOTAL