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1980, 11-12 Permit: 80B-3566 Plumbing Fixtures
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 f. LOT 2. c3620 7 cS j& X LEGAL DESCRIPTION - SEE ATTACHED BLOCK SUBDIVISION PARCEL NUMBER/S OWNER 3. 6J1e.-v y (sN5T ADDRESS /d/©G i 4.545.# — CONTRACTOR 7/7/g , Pftk r, 6/M5 4. 5. ADDRESS ' /Y / /// a7 �' po.v5 ! Va) DESIGNER PHON ZIP y5�4 Actual Set Backs in Feet North (South East 'West PHONE /it 5&in/ Size of Parcel 1 Zone Classification ZIP 5%2 8, Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation I Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unf in. Basement TYPE EW 0 ALT. 0 AD N. 0 RPL. ❑ MVE. 7. OF ���,,,/// WORK BLD. LJ(PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings 8. 1%SCRIBE WORK / Fern Ri &%m L#i5 , ca /TDujG. VALUATION lI 9. SOURCE GAS OF UTILITIES ELECTRIC En CERTIFICATE Req'd. of EXEMPTION um. Dist. Location (Area) WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that 1 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 // �U ° — SIGNATURE OF APPLICANT..--SLC,C SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: Recd. Not Req'd. FEES COLLECTED Single $ Building ' Plumbing a'Asc. Mech. Plan Check SEPA Mobile Home Other (Specify) 3' ce TOTAL $ PERMIT NUMBER f' jaCi-3sc. 4 03* *3000 *3000 *3Q006 A *000 8 35632 11-12-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. . PERMIT IS NONTRANSFERABLE,1,1,1 t;2'. ,;8 315'' ,'� 3!(5:,.6:(g 3 *' Q 0 0 a - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL ,