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1981, 06-04 Permit: 81A-5506 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER • SPOKANE COUNTY - BUILDING CODES DEPARTMENT SD� u NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 0 3 * * 4 5.u 0 1, �_ I 87 -o 114 LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISIO PARCEL NUMBER/S * 5, O U 2. 55Q5� OWNER � IviA NI PHONE 7)-9---- rf-^ 5CI'l606- 0 4- ZIP 813. A DR Actual Set Backs in Feet 49r. 2-0 -VkikWI / 4„ Idsccr& North 'South East (West CONTRACTOR 1:,--1,, E.. Size of Parcel Zone Classification �`i s`ri1�� 520 4' ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No 0 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 NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE. 7. OF OTHER WORK 0 - BLD. ie PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRI E WORK, Enum. Dist. Location (Area) ' 8. Pt, 111 I'V It r lx�J k (O� I I FEES COLLECTED VALUATION !� \l SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF • 9. UTILITIES, Public ❑Private 0 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 performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �7 Plumbing DATE OF APPLICATION /1—/87 SIGNATURE OF APPLICANT 0214 /7 d �,,,-* Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: , f �/� NAME DATE t•I CO N'f (/l�. Plan Check Env. Health I S+1-o W ' y y� -1-2-to i IUI� (UA- f`17^ K, - A4 2) SEPA Planning } 2,_ 141 —2/2-2-10I ' v Fire Marshal Mobile Home w J Co. Engineer [ tAl 4Z'I IY►a- I Other (Specify) Utilities I K i �, 's,t J� Plans Examiner i 4i' ul-r, TOTAL $ F 17e ,-I • WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. t . B T ;i chci.n PERMIT IS NONTRANSFERABLE 0161 0 X81•. 5 5 0,'6 g *4 5,0 0;°a PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL