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1979, 08-10 Permit: 79-2011 Plumbing Fixtures
FAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT 7 -;7-0 I NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS ` 03 * * 25,50 1. ��`yI CO 2,O ) LEGAL DESCRIPTION - SEE ATTACHED * 2550 LOT' BLOCK SUBDIVISION PARCEL NUMBER/S * 25,50 2. C .2— W n fel �O� V�I% OWNER P ONE 0. 3. 9) m `rrK- * 0,00 AD SS 1 I L� Zlp ©� Required Set Backs in Feet 201.0 7�/p /j North 'South East [West 08- 1 0-7 9 CONTRACTOR '' II ONE Size of Parcel Zone Classification ,vr �✓ n_U N1 IBJ 1 I-{GI ,22.' rj`�2 g 6.479, 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. rJ. ADDRESS ZIP OWL Area Basement Area Garage Area Storage — CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE No.Baths No. Floors No. Rooms Rec. Room NEW ❑ AL,T. ❑ AD'N. 0 RPL. 0 MVE. 7. OF [�'/ LI OTHER WORK ❑ BLD. PLMB. 111MECH: ❑ M.H. IEPOOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCREwR+ FEES COLLECTED 8. / L� N( n I N 61 '2c'([iI- VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ 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 Building 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 � j '5 6'`' Plumbing perfor a ofconstruction. —,) r `O -1io1 � , ^ \ DATE SIGNATURE \‘ --'4'-C-3 ) 16\, Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health rC SEPA Planning w 0.. Fire Marshall Mobile Home :n Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist .. CO S A MIT. 1. 15 25. 500 --�- 'er i — / � DAT I� OFFIC -� %��/ J * =1 APPR 6' OR ISSUANCE