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1980, 06-24 Permit: 80-6248 Plumbing Fixtures (PLAN NUMBER APPLICATION/PERMIT . PERMIT NUMBER I . SPOKANE COUNTY - BUILDING CODES DEPARTMENT 86 -. ..6. •.9111 2 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 8 l) w 9 : JOB ADDRESS ' Ms r LEGAL DESCRIPTION — SEE ATTACHED 1. /�, ? / r• .i1 Fav', LOT BLOCK SUBDIVISION PARCEL NUMBER/S Z. OW;PER ���� L E C 4.7 3. �'`'�'''�. 1� - Cl v'!J4F�{! Required Set Backs in Feet C6 C 6- 0 ADDIh S / ss v �'v r "�� 6 North (south (East (west 6.4 7 9, CO ACTOR ///� P N Size of Parcel Zone Classification [� �` /� ��JJ` Z1� �r+� �//�J Type Const. Occupancy Sprinklered /(),ff/Fy{/�/ Wu� LJ c/ ' -4 /� 7 -_ Dyes ❑No ❑ Req'd. / DESIGNER 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. No. Baths No. Floors No. Rooms Rec. Room TYPE SEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7. OF 0 OTHER - CERTIFICATE Req'd. Recd. Not Req'd. WORK "� "`D' LMB. ❑ MECH: 0 M.H. 0 POOL of EXEMPTION 8 I BE/,4#7 "/ /14:20--A' 14: / Afe,s rg � /��) FEES COLLECTED 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 le-OO to give authority to violate or cancel the provisions of any other state or I al law regulating construction or the Plumbing performance of construction. Ar DATE —2 C/—A) SIGNATURE ,-'/�/�A © Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check 0-..'Env.Health C: SEPA `— LJ Planning n.- v) Mobile Home z Fire Marshall Other (Specify) Co. Engineer UtilitiesIg' " TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, Illh THISrpFCOTERS A,I5EgtMIT. SEPA Checklist - 440L t., r, u 8. 0 t_ I- DATE�/2 OFF IC E ..maw, APPRA"rOR ISSUANCE