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1980, 03-11 Permit: 80-2061 Plumbing Fixtures"" NDMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON /SPOKANE, WASHINGTON 99260 / (509) 4563675 APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 1.4� 1 1 G s n it _66 I LEGAL DESCRIPTION -SEE ATTACHED 3. 4Am DESIGNER PHONE ❑Yes ❑No ❑ Req'0. u NO. Baths No. FIOOR NO, ROoms Ret. Room TYPE ❑ NEW 11 LT. ❑ GO N. ❑ RPL. ❑ MVE. ], OF ❑ OTHER I] BLD. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE ReP's. Rev'd. NOI Req'd WORK .1rPLMB. of EXEMPTION DES R EwoaK FEES COLLECTED VALUATION GAS ELECTRIC WATER SEWER oou'ca 9, utlleles Single $ I hereby Comte 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 Banding 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 theprovisions of any other state or local law regulating construction or the performance Of construction. Plumbing DATE SIGNATURE Mech SPECIAL APPROVALS SPECIAL CONDITIONS: OEPT. REQ'D. RECD. Plan Check Eno. Health SERA Planning Mobile Home Other ISrua Fire Marshall CO. Englnear n J5L TOTAL S /D zone Clearance PERMIT NVMBER 4a - AID fo1 DATE -1L- BGG. r_i' 53-11-" 6L70 �Q/� I THIS BECOMES A PERMIT' DATES__1_11 CGFICIAL - - *1 I'^ S' apPrtmn,l PGP ICCIIDNPF