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1980, 02-07 Permit: 80-941 Plumbing FixturesLAN NUMBER APPLICATION/ PERMIT r 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 LEGAL DESCRIPTION— SEE ATTACHED LOT I BLOCK IbUBDIVIS107 PARCEL NUMBER/S 2. DESCRIBE WORK 8. 17 VALUATION GAS I ELECT SEWER FEES COLLECTED 9. 1 Utilities Single 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 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. Plumbing DATE �z��i`�y SIGNATURES F Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SPECIAL CONDITIONS: SEPA Checklist %? DATE a—:2 COFFICIAL � Aoonnvrn rnn ,ccuAmnr Plan Check SEPA Mobile Home Other (Specify) TOTA L $.;I � PERMIT NUMBER P DATE ;? ?3 5% x 25)(; r L 0 940 9, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1, 1 c I— C: W a v: Z O ER PHONE 3. ADDRESS ZIP Required Set Backs in Feet ILD ?, �C!/ North South East West RACTOR PHONE Size of..Parcel Zone Classification 4. b2 _.zbck AD RESS ZIP Type Const. Occupancy Sprinklered []Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. ,_,,R�/ TYPE NEW 1:1 ALT. C ❑ AD'N. 1:1 RPL. El MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF�! CERTIFICATE Req'd. I Recd. Not Req'd. ❑ El M. BLD. -VE MECH: M.H. POOL WORK 1:1D of EXEMPTION DESCRIBE WORK 8. 17 VALUATION GAS I ELECT SEWER FEES COLLECTED 9. 1 Utilities Single 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 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. Plumbing DATE �z��i`�y SIGNATURES F Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SPECIAL CONDITIONS: SEPA Checklist %? DATE a—:2 COFFICIAL � Aoonnvrn rnn ,ccuAmnr Plan Check SEPA Mobile Home Other (Specify) TOTA L $.;I � PERMIT NUMBER P DATE ;? ?3 5% x 25)(; r L 0 940 9, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1, 1 c I— C: W a v: Z