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1982, 11-16 Permit: 82B-1094 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 JOB ADDRESS 2-1 H°51\1 NJ LOT `..//BLOCK SUBDIVISION 2. LEGAL DESCRIPTION - SEE ATTACHED owNEriT4 kJ S 3 G LU ADDRESS y . Z10 7 rj%ac`-? CONTRACT9R 4. �. 4 o j7L_J K� AD S '&449- 9 S - 5. DESIGNER PHONE ADDRESS ZIP PARCEL NUMBER/S --/- — l Q� Actual Set Backs in Feet North ''SouthEast- 'West Zone•Classificat ion Occupancy Sprinklered ❑Yes 0No 0 Req'd. Building Area in Sq. Ft. Upper Floors Garage Area Storage Size of Parcel Type Const. Valuation Main Floor CHANGE OF USE FROM 6. TO Area of Decks Finished Basement UnfIn. Basement TYPE 7. OF WORK CJ NEW 0 BLD. ❑ALT. 0 AD N. 1 PSLMB. 0 MECH. O RPL. ❑ M.H. O MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE ' of EXEMPTION Req'd. Recd. Not Req'd. 8. DESCRIBE 0ORK Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION / 1 + 16 - n " SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist mg T ni an SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing J.0 Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER tzr— l09q- 03* *4500 - *45006 *000 A 109.32 ' 11 -16-82 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1:0.9,'42 *45,00.2 DATE ISSUED PERMIT NO TOTAL