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1984, 04-24 Permit: 84A-3716 Plumbing FixturesPLAN NUMBER APPLICATLON/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1. /69/3r/3' " /4e55e0 0 PARCEL NO. 2. 3 4. LOT OWNER BLOCK MAILING ADBRESS SUBDIVISION PHONE LICENSE EXPIRES 40073-6Y PHONE ZIP LEGAL DESCRIPTION: Actual Set Backs in Feet to: North ISouth Size of Parcel East West Zone Classification Residential 0 Commercial 0 ADDRESS /32o3 %2 PC Type Const. Occupa cy Sp nklered DYes 0 N 0Reg 'd. 5. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg Floor Area ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin Basement Un/in Basement TYPE 7. OF WORK f�l NEW 0 ALT. 0 AD' N. ❑ RPL. 0 MVE. 0 BLD. «PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No Baths No. Floors No. Fin. Rooms No. Dwellings CertifI. of Exempt. or Variance Required Ves❑ No0 Received YesO Non Number 8. DESCRIBE WORK .7O rzie- Shorelines/Flood Hazard VesO Not Applic.0• Plans Required 0 Received 0 VALUATION 9. SOURCE UTILITIES GAS ELECTRIC WATER PUBLIC 0 PRIVATE 0 SEWAGE SEPTIC 0 SEWER 0 Ownership Public 0 Private 0 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 au - f any other state or local law regulating construction or the performance OUIRED INSPECTIONS thorlty to violate or cancel the provision of construction. SEE REVER s' D OR SIGNATURE OF OWNER OR AGENT /at - APPLICATION,yr/ DATE SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. 710/ SPECIAL CO DITIONS: (SEE REVERSE SIDE FOR NOTICE) /z(ca-t, (g.rvS O reU,i s s Leta a5�c aw PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) 90 45 - TOTAL TOTAL $ 90 e PERMIT NUMBER —371(0 03* .*9Q00 *90008 A *000 8 371.32 04-24-84 2 6479. D. 0 W IA J WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE w! ED2..4 = 8 4 PERMITLI L V Z *9 a00mtAL