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1986, 08-15 Permit App: 00012750 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 2. LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION: OWWR_ j PHONE PHONE 3. � � PERMIT NUMBER ,7® SPECIAL MA,N ADDR>=SS /jjj �� Zip Actual Set Backs in Feet to: SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) North South East West DATE PONTRArTOR LICE ' PHONE Size of Parcel Zone Classi fication omOResidential rciial 4. - SEPA ADDRESS l /� , �/7! l� ZIP �%�2�' Type Const. Occupancy Sprinklered Modular/ MFG. Home ri �' r, !✓ Fire ❑Yes LJ No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. Other (Specify) O V Engineer ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE '� NEW El ALT. ❑ AD' N. El RPL. ❑ MVE. No. Baths No. Floors No. Fin. Rooms No. Dwellings %. WORK ❑ BLD. ❑ PLMB.kMECH. ❑ M.H. ❑ POOL 11 OTHER Certifi.ofExempt. Required Yes LJ No❑ Number SEPA , or Variance Received Yes 71 No❑ � �T DESCRIBE W RK _Z A,, 1: f -�%� r: lig =L-� Pi 1 cL S / � � r � Shorelines/ Flood Hazard Plans Required ❑ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. e -� Yes ❑ Not Applic. ❑ Received ❑ VALUATION SOURCE GAS ­ELECTRIC WATER SEWAGE Ownership 9 j_ PUBLIC ❑ SEPTIC ❑ FEES COLLECTED UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 resume to P P 9 9 P P give au- Building thority to violate or ca the provisions of any of r state or local law regulating construction or the performance of construction. SEE EVE DE D INSPECTIONS Plumbing SIGNATURE OF / r APPLICATION �i OWNER OR AGENT - DATE 1 Mech. PERMIT NUMBER ,7® SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG. Home Fire Prevent. Other (Specify) O V Engineer W � J li Utilities TOTAL $ SEPA , PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Pians Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Building Tech. DATE ISSUED PERMIT NO. TOTAL