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1980, 01-22 Permit: 80-0452 Mechanical 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 JOBaDDRESS ACHED 1 -'�A-Z,1 �I� i LEGAL DESCRIPTION -SEE ATT DATE VALUATION OWNER GAS ELECTRIC PHONE SEWER —21 v of O O 3 9, Utilities AD IP Required Set Backs in Feet 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 Building ,R///ESS to give authority to violate or cancel the provisions of any other state or local law regulating construction or the North South East West performance of iron. COIN.IIF�QTOR VLr � �� 1OnStruC DATE J�u SIGNATURE—Mech. PHONE ��i (!J Size of Parcel Zone Classification 4. ADDRESS SPECIAL APPROVALS SPECIAL CONDITIONS: Type Const. Occupancy Sprinklered Plan Check �» Env. Health ❑Yes ❑No ❑ Req'd. SEPA DESIGNER Planning PHONE Valuation Building Area in Sq. Ft. 5' Mobile Home Fire Marshall ADDRESS Other (Specify) ZIP OWL Area Basement Area Garage Area Storage Utilities TOTAL $ h Zone Clearance CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. .0.,., ., �. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW ❑ALT. 1:1 AD'N. ❑ RPL. ❑ MVE. 7, OF 1:1BLD. _/ ❑ PLMB. ILS MECH: ❑ M.H. El OTHER ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION 8. DESCRIBE WORK c a�� iv C� 000 �'fd + z 0 0 49:5i FEES COLLECTED DATE VALUATION Source GAS ELECTRIC WATER SEWER of 9, Utilities Single $ 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 Building 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 iron. Plumbing �1OnStruC DATE J�u SIGNATURE—Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Other (Specify) Co. Engineer I /J Utilities TOTAL $ h Zone Clearance WHEN MACHINE VALIDATED IN THI SEPA Checklist DATE / 51,1L THIS BECOMES A PERMIT. .0.,., ., �. PERMIT NUMBER 90 — ©+r� 04* * 1 2.00 1 *1200 E *0.00 4 5. 1 01-22-80 6479.