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1980, 02-25 Permit: 80-1472 Plumbing FixturesR is 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 4 COPIES JOB ADDRESS 1 LOT 2. BLOCK 64/47/? / raL LEGAL DESCRIPTION — SEE ATTACHED 3. OWNER PHONE PARCEL NUMBER/S ADDRESS ZIP CONTRACTOR 4' ADORES 5. 6. //c -r 1 -0 1 6lG6fGiPti R" r-firsL ,9;1707 —4A PHONE ZIP ninL PHONE 535"-957i ADORES d. Wax/ND9, CHANGE OF USE FROM ZIP "902/4/ Required Set Backs in Feet North (South East 'West Size of Parcel Zone Classification Type Const. Occupancy SPrinklered, ❑Ves 0No 0 Req'd. Valuation Building Area 1 Sq. Ft. DWL Area I Basement Area Garage Area Storage TO Split Entry Split Level Rancher , TV PE 7. OF WORK NEW 0ALT. ❑ BLD. IS.PLMB. O AD N. 0 RPL. ' 0 MVE. ❑ MECH: 0 M.H. - 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. VALUATION 9. // GAS Source of Utilities ELECTRIC WATER SEWER I hereby certify that I have read and on reverse side, and know the same type of work will be complied with to give authority to violate or cancel performance /fofconstruction. DATE ( / ` 9.trg& examined this- applica ion and have read the "NOTICE" provisions included to be true and correc . All provisions of laws and ordinances governing this whether specified herein or not. The .ranting of a permit does not presume the provisions of any other state oQ •. law regur ting c istruction or the SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL 4I DITIONS: DAT E3. 60O F FICIAL 4G r' 1n✓VLIVVirrN APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building �J ,] Plumbing f'D'S.f/ Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 30a PERMIT NUMBER cao 11•1•17 - DATE `1•17 - DATE 03* *3050 *3050 I *30.506 E *000 8 147.12 • 02-25-80' 2 6479. WHEN WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 147:25 *30.50,°J