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1982, 10-20 Permit: 82A-9878 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 3 COPIES JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED 1.r ? v -�3fo LOT BLOCK + PARCEL NUMBER/S � 2.1_,i yIre:>w.o ow s1 OWNER4 PHONE 3. N ' L-L-i'A Yin S qZ$ ADDRESS pp++ /�� �( ZIP[ Actual Set Backs in Feet fa C) `P C--�-�� 7`-'�\ -\ % North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIPType Const. Occupancy Sprinklered LP Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 1-11 TYPE NEW No. Baths No. Stories No. Rooms No. of Dwelling ❑ A El AD'N. 1:1 RPL. ❑ MVE. 7. OF ❑ OTHER WORK El BLD. PLMB. ElMECH. ❑ M.H. ElPOOL CERTIFICATE Req'd. Recd. Not Req'd of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8 L�V� ; ` FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. 1UTILITIEOF S Public ❑ Private ❑ Single $ 1 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 construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION 1 �_ _ '2-� Q:/-- SIGNATIIRF OF APPI ICANT�a Mech. SPECIAL APPROVALS NAME DATE iv. Health anning re Marshall :). Engineer tilities ans Examiner =PA Checklist SPECIAL CONDITIONS: K�� i of CA+ n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONF VFAR FROM DATF OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $- PERMIT NUMBER -/0?7-A 9sn8? �* *21,00 �F7,7 1 -20-R2 4 7 9, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10`2x,_82 98 8z MATE mzi iCn D=RAIT nIn *2100a�,_ rnr A I C C C C i