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1982, 09-03 Permit: 82A-7832 Plumbing Fixtures
PLAN NUMBER APPLICATION/PERMIT SPOKANE, COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. 162 4:�'i4)LEGAL DESCRIPTION —SEE ATTACHED CHANGE OF USE FROM LOT BLOCK Finished Basement Unfin. Basement PARCEL NUMBER/S 2. I ISUBDIVISION TYPENo. ®'-TVEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. Baths No. Stories No. Rooms OWNER j�1gSc© 7 1-1 OTHER PHONE 3. 11 BLD. Z-2LMB. ElMECH. ❑ M. H. 11 POOL CERTIFICATE Req'd. Rec'd. Not Req'd WORK ADDRESS ZIP Actual Set Backs in Feet DESCRIBE WORK Enum. Dist, Location (Area) FEES COLLECTED $, North South East West CONTRACTOR SOURCE PHONE Size of Parcel Zone Classification SEWERUSE /� C7 C9 S>r�� K�Cn(f/dscA� .f-.v� CODE �a? .�5�.2�3 9. JUTILITIOFES 4. Public ❑ Private ❑ ADDB.VSS ZIP Type Const. Occupancy Sprinklered cacQ3 FpQ�L i$ 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 ❑Yes ❑No ❑ Req'd. Building DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. I TYPENo. ®'-TVEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. Baths No. Stories No. Rooms No. of Dwelling 7 1-1 OTHER 11 BLD. Z-2LMB. ElMECH. ❑ M. H. 11 POOL CERTIFICATE Req'd. Rec'd. Not Req'd WORK of EXEMPTION I DESCRIBE WORK Enum. Dist, Location (Area) FEES COLLECTED $, VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE Ownership CODE 9. JUTILITIOFES Public ❑ Private ❑ 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 INSPECTIO 1 Plumbing DATE OF APPLICATION / -�� 2- SIGNAT[JRF- nF APPI ICANT � _ -'/ Mech. SPECIAL APPROVALS NAME DATE Env. Hez Planning Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: r� PERMIT IS NONTRANSFERABLE Plan Check SEPA -P 1PERMIT NUMB!; C �� /'6� 03* *41.00 *41.00 A *0.00 7F5,1 09-03-82 g 6.479, Mobile Home Other (Specify) / TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09-o 3'-8 2 7 8 3.� 2 z *'41.00a�'- -