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1983, 11-07 Permit: 83B-1351 Plumbing FixturesPLAN NUMBER P% APPLICAXIQN/PERMIT SPOKANE COUNTY -- BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3COPIES 2. 3. 4. 5. JOB ADDZ655 (/ ^j�j� Iy/(^/c'.J' LOT HLtJCIiSU BDI N / D ESS r/J ,�W��jjjOJr�JD- AD E$5 Q i I(t r �. DESIGNER X 2�%(L LEGAL DESCRIPTION — SEE ATTACHED PH•ONNEE [''� S 7J— 5J -X ZIP PHONE PARCEL NUMBER/S Actual Set Backs in Feet North 'South Size of Parcel Type Const. Valuation Occupancy East 'West Zone Classification Sprinklered Oyes ❑No 0 Req'd. 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 Unfin. Basement TYPE 7. OF WORK 8. 9. NEW ❑,,,fALT. 0 AD N. BLD. C-PLM]BB. 0 MECH. DESCRIBE WORK VALUATION SOURCE OF UTILITIES GAS 0 RPL. LECTR IC 0 MVE. 0 POOL 13 WATER 0 OTHER SEWER No. Baths No. Stories No. Rooms • No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) Ownership Public D Private 0 USE CODE Req'd. I hereby certify that I have read and examined this a on reverse side, and know the same to be tr • and type of work will be complied wi i wheth: s.ec B to give authority to violate or c. fel the . ovisio performance of construction S.- REVER. 1' lication and have read the "NOTICE" provisions included rrect. All provisions of laws and ordinances governing this herein or not. The granting of a permit does not presume f any other state or local law regulating construction or the OR REQUIRED INSPECTIONS 9 I DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME ,DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CO .ITIONS: ' 1 //Al, triaisiese rig PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Jot Req'd. FEES COLLECTED Single $ Building Plumbing Mech. PIan Check SEPA Mobile Horne Other (Specify) TOTAL $ 67aL PERMIT NUMBER tas3 rsC t 03* *57.00 *57.00 A *0.00 8 13502 1.1 -07'-83 2 6479. kj WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 117,0("71er 1�3y 1�3'511z *;5 7.O Q DATE ISSUED PERMIT NO. TOTAL 0- O U W