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1980, 01-04 Permit: 80A-9806 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT PERMIT BER 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT Gr. NUM NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 _ DATE >-7-79 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 1 2 0 0 JOB ADDgaEss q LEGA',•DEScRIPTION - SEE ATTACHED * 1 20 0 tz 1' _ i Wa — PARCEL NUMBER/S * 1 2.0 0 c-i LOT BLOCK SUBDIVISION 2. E * 0. 00 0OWNER 6 ,, 1/ �,I-I,ONE 3. 9 8 0.5 ZIP Required Set Backs in Feet ADDRESS S !1/.n"`-►--_- North 'South East West 0 1 -0 4-8 0 CONTRACTOR P ONE Size of Parcel )Zone Classification $ L 4 5 --ijk OfrAtlAi Ai 1 4 —4c�18 U 4' ADDRES ZIP Type Const. Occupancy Sprinklered ���� �/�` 4-���� f� Eves ❑No ❑ Req'd. DESIGNER Wr IV PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO ` Split Entry Split Level Rancher 6. b kt l/-a,,TgV�, No. Baths No. Floors No. Rooms Rec. Room TYPE 0 NEW ALT. 0 AD'N. 0 RPL. 0 MVE. 7. OF ,._,// ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK 0 BLD. 0 PLMB. LMECH: ❑ M.H. 0 POOL of EXEMPTION r DESCRIBE WORK FEES COLLECTED 8. � NS CC� Ovi1N 0 6$VItF� VALUATION Source GAS ELECTRIC WATER SEWER of ' 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 I*.,I law regu ating construction or the Plumbing performance of construction. DATE C1' Ci SIGNATURE i t1 Mech. 42.,O© SPECIAL APPROVALS SPECIAL CONDITI DEPT. REQ'D. REC'D. Plan Check / ' Env.Health ' t_ L --''- SEPA ,,1 Planning 0 m ✓ ! vr/'im /O _ Cl_ I Mobile Home __ Fire Marshall /rte/ a i �2 l (itri - d J/ Other (Specify) Co. Engineer Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, / THIS COPJiIE/S A gPE(1RMIT. ( 6 1 1 SEPA Checklist �� 1.- J `r -''t) U 9 C ft * 1 2, Oww 'a F DATE ' OFFICIA P' RRReVE6-FOR ISSUANCE —