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1982, 06-09 Permit: 82A-4725 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERy�MIIT NUMBER 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 1 / �}fel /) a) i4� LEGAL DESCRIPTION - SEE ATTACHED 0 3 * * 1 7.0 0 LOT BLOCK SUBDIVI ION / G�D� PARCEL NUMBER/S * 1 7.0 0 2 OWNER i. PHONE * 1 7.0 0 3. 1-e-‘,/ Z, /rel//,/ r Y,�i/i alrj/ A * 0.0.0 8 ADDRESS rr .1 7/5 Ili l ai.d ZIP,-,,,, /6 North Actual Set Back'Sout in Feet East 'West 47 2.4 2 CONTR j.OR ✓` PHONE/y Size of Parcel Zone Classification )6 'e t' �,•4 f/iv.; , t6 '/JC 7 06�-09-82 4• /�F/�{, ZIP Type Const. Occupancy Sprinklered A -', S � x, (e9� ry L) Oyes ❑No ❑ Req'd. 6 4 7 9, DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No.Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. q AD'N. 0 RPL. ❑ MVE. 7. OF ❑ OTHER - WORK ❑ BLD. PLMB. 0 MECH. ❑ M.H. LI POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK i' •t rt 'l En um. Dist. (Location (Area) t FEES COLLECTED 8. VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF Public El Private 1=19. 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 /2' ': performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION. IPlumbing DATE OF APPLICATION `/• //% A. / SIGNATURE OF APPLICANT 24) 'lG' a) Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: i NAME DATE Plan Check Env. Health SEPA >- 0 Planning C) C.) Mobile Home w Fire Marshall J Co. Engineer Other (Specify) Utilities I TOTAL $ / /'t Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Buil 1 echnici n _ PERMIT IS NONTRANSFERABLE 'QJ16l +.9 .-8 2 4 7 25 Z * 1 7.0 0 a cE�`/yi - "��J PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE'ISSUED PERMIT NO. TOTAL