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1983, 07-27 Permit: 83A-7047 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 1. 2. 3. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES l PARCEL NO. PERMIT NUMBER, M ILING ADDRESS ZIP Actual Set tracks In Feet to: j 0— ej , I North South East West C ACTORLICEN E ARE PHONE ,, Size of Parcel Zone Classification Re idmen�tial 0 4. V e Y �/ J ,APDRESS ZIP Type Const. Occupancy Sprinklered V, 1 6 V, � � Dyes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE Y EW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7.OF El BLD. XPLMB. 1:1MECH. ElM.H. 11 POOL ❑OTHER Certifi. of Exempt. -T Required Yes❑ No❑ Number WORK or Variance Received Yes❑ No❑ 8 DESCRIBE WORK f Shorelines/ Flood Hazard Plans Required ❑ ��--�� Yes Not Applic. ❑ Received ❑ VALUATION SOURCE OF GAS ELECTRIC WATER PUBLIC 11 SEWAGE SEPTIC ❑ Ownership FEES COLLECTED 9 UTILITIES PRIVATE ❑ I SEWER El public El Private ❑ 1 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 Building 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 vi ' ns of any other state or local law regulating construction or the performance. of construction. SEE REVER S OR RE ED INSOECTIONS Plumbing SIGNATURE OF APPLICATION OWNER OR AGENT DATE Mech. SPECIAL APPROV LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Env. Health PRELIM. FINAL.. A 7((TE l / !J ) tt/ Plan Check A-5 /7G Planning I h/~ t i��GO SEPA r 1 ((/h Modular/ MFG. Home > Fire p Prevent. C Engineer � !� v Other (Specify) C. u Utilities � Tlt� u LiJ cy TOTAL $ SEPA WHEN MACHINE VALIDATED IN THIS SPACE, Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED 07-27-85 7u4z 45.00°f - IN 180 DAYS , Tech. % TrTAlBuilding DOTF ISSIIED DFrM IT NA