1980, 10-15 Permit: 80B-2008 Plumbing FixturesN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOBA LEGAL DESCRIPTION - SEE ATTACHED
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LOT B CK B IV ION PARCEL NUMBER/S
2.
PERMIT NUMBER
8700- aODS
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❑Yes ❑No ❑ Req'd.
/
PHONE
Valuation
Building Area in Sq. Ft.
Actual Set Backs in Feet
North South East West
_-
0,01
C
RACTOR
PCO
L
Size of Parcel
Zone Classification
Main Floor
4'
Garage Area I
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
T e C nst O cu n
crinkleed
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C
YP o
c pa cY
Pi r
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area I
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE P, `N No. Baths No. Stories
A/LT. ❑ AWN. ❑ RPL. ❑ MVE,
No. Rooms No. of Dwellings
% �L��7."��N,�EW ,❑,
" ""D. ['T PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑OTHER CERTIFICATE
Req'd, Recd. Not Req'd.
WORK
of EXEMPTION
I
DESC IBE W RK Enum. Dist. Location (Area)
8
FEES COLLECTED
VAL(59WOIIT SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
9, 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEES REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
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DATE OF APPLICATION �C� —/ / SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
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