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1980, 09-22 Permit: 80B-645 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT Yd ' — .' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB AD RESS 3f '� . 1 d pVb LEGAL DESCRIPTION — SEE ATTACHED „ l LOT B O K SUED ISI N PARCEL NUMBER/S 2. it t i~; n 1,1 L OWNPHONE S . * i^ 3 ADDRE l�La L.hEyl�E ZIP Actual Set Backs in Feet f- 4 C ._ North 'South East 'West fL / ki ...,e/e_gteP ONE Size of Parcel Zone Classification v92 2–yi G 4' SS ZI Type Const. Occupancy Sprinklered 6.4 7 z©3 Zy�/ c; Oyes ❑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. TYPENo. Baths No. Stories No. Rooms No. of Dwellings TIM W ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. 7. OF ❑ OTHER - WORK CIQ BLD. PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK ... .., Enum.Dist. Location (Area) $ /'� 4.L,1--; FEES COLLECTED VALUATION SOURCE Ai 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 - 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 performance of construction.SEE REVERSE// SIDE FOR REQUIRED INSPECTIONS /„ Plumbing DATE OF APPLICATION /�y SIGNATURE OF APPLICAN C�l1�`Y� .+(.Jt 1 Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health j SEPA i_ O Planning U Fire Marshall Mobile Home –J / .5-jv 4 Co. Engineer Other (Specify) 2. L Utilities o , / (� (,? (SOI �jd" TOTAL $�3 Plans Examiner / ce%'J "C�3 �l�1��// d °� WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist / /�1 `J66)Z1 THIS BECOMES A PERMIT. Building Technician [ /� !� PERMIT IS NONTRANSFERABLE G 94-2 2``•8!O 6 A 5 z * 2 8. 0 0 ^ 1- – PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL