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1981, 05-04 Permit: 81A-4252 Plumbing FixturesPLAN 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 2. JOB ADDRESS / ° w z 0 LOT CL7 �1/ BLOCK SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED 3. OWNER ✓ %T 57 srrSd PHONE PARCEL NUMBER/S ADDRESS ZIP Actual Set Backs In Feet North (South East 'West 4. GONTRACjpR m •-0 St-4c-kre.44.0te-4C7 PHONE qk/--sya_3 Size of Parcel 1 Zone Classification ADDRESS/3p.d �/ I r./ r �V/OIi"o__ ZI4!-2,C Type Const. Occupancy Sprinklered ❑Yes ONo 0 Req'd. 5. DESIGNER PHONE Valuation I Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Untin. Basement S -NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. 0 BLD. J�PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. F fC7UGrr/ Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS 1 ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that 1 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEEGREVERSE SIDE FOR REQUIRED INSPECTIONS ci DATE OF APPLICATION "\�I` 4 CC \ SIGNATURE OF APPLICANT' SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Ing T hnici n i r SPECIAL CONDITIONS: - gat, p- emeLseivt. PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PEReIT NUt3BER i(4- —42 03* *4500 *4500 *45006 A *000 8 425,12 05-04-81 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. " !1 0!5; 0I—'8li 425.2't *:45.00a� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL >- 0- 0 0 UJ J U-