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1980, 02-15 Permit: 80-1206 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 PE�ONUMBER 101\VFJ DATE �� �* *20,00 *2i' 0 *20.00v E *0.+?u 1205 02-15-80 6.479, 8. / V .../ i APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 1. JOB ADDRESS Z- Z r n y Lo Y,; LEGAL DESCRIPTION -SEE ATTACHED ELECTRIC OT BLOCK PARCEL NUMBER/S 2 of Utilities ISUBDIVISION _. Single $ OWNER P ONE , 3. 1 hereby certify that I have read and examined this application and have read the "NOTICcludedon ADDRESS Building ZIP Required Set Backs in Feet give authority to violate or cancel the provisions of any other state or I cal aw regulatir the ';' C vo performance of. construction. Plumbing V North South East West CONTRACTORC17/YCPHONE Mech. Size of Parcel Zone Classification DEPT. REQ'D. RECD. Plan Check 4. SEPA Planning ADDRESSZ�IyP ' Irl Type Cons7777 cy Sprinklered 1 �' (c'i ❑Yes []No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS SEPA Checklist ZIP DWL Area Basement Area Garage Area Storage _'LL " DATEOFFICIAL'{. ,: CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE NEW J�ALT. ❑ ❑ ❑ ❑ AD'N. RPL. MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF ❑ OTHER WORK ❑ BLD. PLMB. 1-1MECH: ElM.H. 1:1 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION PE�ONUMBER 101\VFJ DATE �� �* *20,00 *2i' 0 *20.00v E *0.+?u 1205 02-15-80 6.479, 8. / V .../ i 1- -LLC{ I - VALUATION Source GAS ELECTRIC WATERAprovisions 9. of Utilities Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICcludedon reverse side, and know the same to be true and correct. All provisions of laws and orthis Building type of work will be complied with whether specified herein or not. The granting of a pee meto give authority to violate or cancel the provisions of any other state or I cal aw regulatir the ';' C vo performance of. construction. Plumbing V DATE S I G N A T Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall 7, , ©� Other (Specify)— Co. Engineer f%V ,� xt (" c s ©G Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. _'LL " DATEOFFICIAL'{. ,: