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1983, 05-18 Permit: 83A-4217 Plumbing Fixtures
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER ' SPOKANE COUNTY - BUILDING CODES DEPARTMENT S5A,- 11-2I-] NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES Job DRE �`1� , " � LEGAL DESCRIPTION - SEE ATTACHED L' 3 * * 6 1. 0 0 1. 9 ©Q Woo ivy 421,6 - LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. //�� � �A (10_6688 y/qf 05- 18-83 3. OWNE QL al 4. e �y[ � 8 f? 47 9 ADDRES �/ ZIP Actual Set Backs in Feet 44 -vi North 'South East 'West CON1CrR •� ` �P Size of Parcel Zone Classification G-A-eirdoao 4. ADD /FSS (/ilil` W (7/( Type Const. Occupancy Sprinklered �I S v 7E, z 0 v ISH X, ❑Yes ❑No ❑ Req'd. 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. TYPE ,�, � No. Baths No. Stories No. Rooms No. of Dwellings LSi►fQEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF 0 OTHER WORK ©.DCD. ILLIa MB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIORKc Enum. Dist. I Location (Area) t 8 / `JGbb�� 7 i FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF Public ❑Private ❑ 9. 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 //0r-? performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / 4.Are Plumbing V� '"r Ar C7 Mech. DATE OF APPLICATION ✓ SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE 5,j. /j Plan Check Env. Health ``/�/�/��(�/' SEPA >- Planning � �L _ I Fire Marshall Mobile Home 'u J Co. Engineer / „e.. Other (Specify) Utilities �/.`M / 0 �'�/C///,CJ` , TOTAL $ 67/ Plans Examiner /... �w/�!1/, ()�j/"O 7;4 WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist /'— �° T � THIS BECOMES A PERMIT. r. •Idi., Tech Acian PERMIT IS NONTRANSFERABLE 05'-�1:8 -8 3 4 2 1 .7'z * 6 1.0 0.2 FJ- - P`'' ` ` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL