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1980, 10-15 Permit: 80B-2032 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK $ FEES COLLECTED TK 49?A VALUATION Source GAS ELECTRIC WATER SEWER of DATE ^ JPEW UMBER (fes - -2,0 3 .?-- y, APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS Single $ LEGAL DESCRIPTION - SEE ATTACHED 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 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 LOTYJ BLO 5UBDIVIblOW DATE Id"leSIGNATURE Mech. PARCEL NUMBER/S 2. DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning OWNER Fire Marshall Mobile Home Co. Engineer Other (Specify) PHONE Zone Clearance IN THIS SPACE, WHEN MACHINE VALIDATED SEPA Checklist ^ THIS B�CQMES A PERMIT. 0 U_ DATE © O ICI __ , ADD S ZIP Required Set Backs in Feet 44/4-1�North South East West N CONTRACTOR PHONE Size of Parcel Zone Classification a .2 d �- 4. ADDR S ZIP Type Const, Occupancy Sprinklered ❑Yes []NoElReq'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP OWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE �EW❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. 7, OF 1:1BLD. 9-1 LMB. ❑ MECH: El OTHER ❑ M.H. I CERTIFICATE Req'd. Rec'd. Not Req'd. WORK -]POOL of EXEMPTION I DESCRIBE WORK $ FEES COLLECTED TK 49?A VALUATION Source GAS ELECTRIC WATER SEWER of DATE ^ JPEW UMBER (fes - -2,0 3 .?-- y, 1 Utilities Single $ 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 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 Id"leSIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities 00 TOTAL $ Zone Clearance IN THIS SPACE, WHEN MACHINE VALIDATED SEPA Checklist ^ THIS B�CQMES A PERMIT. 0 U_ DATE © O ICI __ ,