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1983, 06-20 Permit: 83A-5513 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT AUMBERS SPOKANE COUNTY - BUILDING CODES DEPARTMENT C---**. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADD ss 'LEGAL DESCRIPTION — SEE ATTACHED 1. . �� a� ��,ej ���� LOT BLOCK UBDIVISION PARCEL NUMBER/S 2. OWNEFh�f(�f efe w���� PHONE 3. `/✓ ADDRESS ZIP Actual Set Backs in Feet North 'South East (wnest CON CTOR !'7 �yS1 MB Size of Parcel Zone Classificatio 4. 1'`' �'144 � (rah/,,( ADDRESS /,...-� /�,� 7tJ/4���.,^,t/ �} Type Const. Occupancy Sprinklered / ige) 7 / : OK / !(9V(O ❑Yes ❑No 0 Req'd. 03 * * 5300 DESIGN R PHONE Valuation Building Area in Sq. Ft. 5 5 1.2 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 0 6—2 0—8 3 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6 4 7 g, 6. . TYPE '.-/ No.Baths No. Stories No. Rooms No. of Dwellings t"IGEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE. 7, OFq.�/ ❑ OTHER - WORK "<D. E PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK 76/ ` / ate" Enum. Dist. I Location (Area) FEES COLLECTED 8. VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public D Private ❑ 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 53 performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / Plumbing C a• DATE OF APPLICATIONC7©- � SIGNATURE OF APPLICANT r%/./ � E. l Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE7r !� Plan Check �'Env. Health ©��e Pig. ^j S SEPA >- L�' >- Planning Q �' Mobile Home w Fire Marshall t:77- 7.1/66 -t Co. Engineer (�� Other (Specify) Utilities 4 - G(J �~ 62' ,G// �7& TOTAL $ 5 3 Plans Examiner �J` WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Building e 1 'cian PERMIT IS NONTRANSFERABLE O 6 '-2 0�'-8,3' S 51.3 .z *5 5.0.0 a. 1- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL