1982, 11-12 Permit: 82B-0888 Plumbing FixturesAPPLIGATIDN/ PERMIT
SPOKANE COUNTY - BURVN&CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091656-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
3.
ADDRESS
ONTR TOP
4- ADDRES, ��2O �^
DESIGNER
5.
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❑ Req'a.
TYPE IiA.F. ❑ ALL. ❑ AO'N. ❑ RPL. ❑ MVE.
J. OF ❑ OTHER
WORK El BLD. K FILMS. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'tl. Re,'0. at Rep'E.
of EXEMPTION
03 _5.00
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'1
8. /Q 1 tiS
FEES COLLECTED
Single $
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownerfiip USE CODE
OF
DTI LIE Public ❑Ptiva[e E,9.
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
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
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performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION 1["[2_G7 SIGNATURE OF APPLICANT
Mal
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env Health
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/ /v/'s
S �py£K
SEPA
Mobile Home
i
Planning
Fne Marsnall
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Other (Speafy)
cn. Engineer
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TOTAL $ ySo
urnnee
Plans Examiner
WHEN MACHINE VALIDATED
THIS BECOMES PERMIT.
IN THIS SPACE,
SEPA Chervil,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
11-12 - 8� 2
DATE ISSUED
8 8.81 *45.0100U
PERMIT NO. TOTAL
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