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1983, 09-08 Permit: 83A-8745 Plumbing 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 N, /1N70?' rr_iL1. PARCEL NO. LOT 2. BLOCK SUBDIVISION owhJSF- 3. / t� p\��\ffaT' ?A,'a 9D�RF$S (!S !ILLS' 6.f rm.-i3 wG RACTOR 4. ver (-1,4 rtu Dox 5. DESIGNER PHONE 9.zf? /99/ PHONE LEGAL DESCRIPTION: 177/4 Actual Set Backs in Feet to: North (South East I West LICENSEF�(5it ), PHONE Size of Parcel Type Const. Occupancy New Corot. Valuation Zone Classification Residential 0 Commercial 0 Spr nklered Oyes DNo UReq'd. Remode ed Valuation Total Bldg. Floor Area ADDRESS ZIP Main Floor Lipper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv Deck Fin. Basement Untin. Basement TYPE $NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE. 7. OF ,t WORK 0 BLD. K(PLMB. 0 MECH. 0 M.H. 0 POOL 8. 9. DESCRIBE WORK VALUATION SOURCE OF UTILITIES GAS ELECTRIC 1S WATER PUBLIC 0 PRIVATE 0 0 OTHER SEWAGE SEPTIC 0 SEWER 0 No. Baths No Floors No. Fin. Rooms No. Dwellings Certill. of Exempt. or Variance Shorelines/Flood Hazard YesD Not Apollo. 0 Ownership Public 0 Private 0 Required YesD No❑ Received YesD No❑ 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 presume to give au- thority to violate or cancel the ov ons of any other state or local law regulating construction or the performance of construction. SEE REVER 1 FOR RE D 1 PECTIONS SIGNATURE OF APPLICATION Q /7��� OWNER OR AGENT DATE /( SPECIAL APPROV PRELIM. FINAL SATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech 9/7 SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) oZ ' Bat9�t� /- r/00 - ✓ ;•fl 3 - r;; /e-- 1— I al , 3 -hour; / -s„vk PERMIT 15 NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Number Rare Requ'red D Received 0 FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 3 PERMIT NUMBER 5'A— 074- 03* *61.00 *61.008 A *000 S 874.4.2 09-08-83 2 647'). O W Li - WHEN WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A ZPERMIT. DATE ISSUE 8 —8./ PERMIT'NO.4' / z * 6 1 O O4riAL