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1980, 10-20 Permit: 80B-2273 Plumbing Fixture PLAN NUMBER APPLICATION/PERMIT PErMIT NUMBER _ a SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 2 73 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 fi APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS U 3 * * 5(J 0 1. S , L O UJ�Q��� ,�! LEGAL DESCRIPTION - SEE ATTACHED * y 0 c LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 5 O 2. OWNER PHONE * 0 0 Ti 3. ADDRESS ZIP Actual Set Backs in Feet G 2 7. 2.7.-`, North 'South East (West 0—2 - 0 CONTRACTOR PHONE Size of Parcel Zone Classification 4' M& . ko j Sc.If, Pir 41010-loic&. 6/ 79 ADDRESS ZIP Type Const. Occupancy Sprinklered E , rb IS- 1/ Ack-Q� qqX07 ❑Yes 0 N ❑ Req'd. E�__. _ _. _.. � J PHONE Valuation Building Area in Sq. Ft. 5. P NT- &3S-9& ADDRES (0 914 ZIP �� �y Main Floor Upper Floors Garage Area StorageP. _ CHANGE OF USE FROM� (� TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo. Baths No. Stories No. Rooms No. of Dwellings ❑ NEW 0 AD'N. 0 RPL. ❑ MVE. 7. OF ❑ OTHER - Req'd. Rec'd. Not Req'd. WORK 0 BLD. ( 'PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE of EXEMPTION DESCRIBE WORK Enum.Dist. I Location (Area) 8 r �NI-1w f'f'_, I FEES COLLECTED VALUATION SOURCE l GAS ELECTRIC WATER SEWER Ownership USE CODE OF Public 0 Private ❑ 9. UTILITIESSingle $ 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 (99ito give authority to violate or cancel the provisions of any other state or local law regul ting constru ion or the 5 performance of construction.SEE REVERSEXSIDE FOR REQUIRED INSPECTION / t Plumbing DATE OF APPLICATION 10 _ I S� V© SIGNATURE OF APPLICANT ill ,Jch. SPECIAL APPROVALS SPECIAL CONDITIONS: / NAME DATE Plan Check Env. Health SEPA 0. Planning p C.) Fire Marshall Mobile Home W ri. Co. Engineer Other(Specify) Utilities Oa TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. • ing Tech - - n % PERMIT IS NONTRANSFERABLE 1 ( � 0 - 3 � 7127, 3. *7, 0 O 72 - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL