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1980, 06-23 Permit: 80-6141 Plumbing FixturesPLAN NER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS O c} P.—,,,kla- LEGAL DESCRIPTION — SEE ATTACHED 1. , Source GAS LOT BLOCK[SUBDIVISION SEWER 9, PARCEL NUMBER/S 2. I Single $ OWNER 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included PHONE on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 3 type of work will be complied with whether specified herein or not. The gr t g of a permit does not presume °`� c,r to give authority to violate or cancel the provisions of any other state or c I regulating c struction or the "no -:50 Plumbing ADDRESS ys- performance of construction. ZIP Required Set Backs in Feet Mech. North South East West CONTRA PHONE ize of Parcel Zone Classification IF J`••`D`"C�j/_�,(, Planning Mobile Home 4' Co. Engineer Other (Specify) Utilities ADDRESS �ri17 ZIP Q� /�/ Type Const. Occupancy Sprinklered l ► �a g� d 4_ Dyes []No ❑ Req'd. DEStG1*E-R --7 P NE_ Valuation Building Area in Sq. Ft. -j-- J 5. ADD�E6S ZI DWL Area Basement Area Garage Area Storage i ,/� / i� ����� CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE > MEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF ❑ BLD. XPLMB. ❑ MECH: ❑ OTHER ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I PERMIT NUMBER `bD -(o i L4 DATE DESCRIBE WORK FEES COLLECTED l VALUATION Source GAS ELECTRIC WATER SEWER 9, of 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 gr t g of a permit does not presume °`� c,r to give authority to violate or cancel the provisions of any other state or c I regulating c struction or the "no -:50 Plumbing ys- performance of construction. DATE 2 [ SIGNATURE_ Zl Mech. SPECIAL APPROVALS SPECIAL DITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $� Zone Clearance IN THIS SPACE, WHEN MACHINE VALIDATED SEPA Checklist THIS{BECOMES A PERMIT. d 4_