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1982, 05-13 Permit: 82A-3734 Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY = BOLDING CODES DEPARTMENT `:/ S 2' -'"- --7-34/1 01/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 IlJ•'! a APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS -i LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. OWNER PHONE ADDRESS ZIP Actual Set Backs in Feet . 6. 1 . VT 1° GIG a./ North 'SouthEast (West 0 G. * * 1 8 0 0 CONTRACTOR PHONE Size of Parcel Zone Classification * 1 ci. 0 0 4. ADDRESS ZIP Type Const. Occupancy Sprinklered it 1 8 0 0 6 Dyes ❑No 0 Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. A * U Q 0 CD 37332 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ 05- 13-82 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 6479. TYPENo. Baths No. Stories No. Rooms No. of Dwellings 4.NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE. 7, OF 1 0 OTHER WORK 0 BLD. 0 PLMB. CJ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBEnWORK Enum.Dist. I Location (Area) ' 8. �S 1 f:>`N is -,� oco-Ps c Lt$ c-r •�-4 c.� _ I FEES COLLECTED G. VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTI LITI ES Public 0 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 Plumbing DATE OF APPLICATIOl3 —S.z` SIGNATURE OF APPLICANT 4 n� Mech. Vt Pd, 5:— tS•CZ) SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA >- r71_ Planning 0C� Mobile Home w Fire Marshall -"1 u.. Co. Engineer Other (Specify) Utilities ,, \ TOTAL $ la,(SO Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Building Technician PERMIT IS NONTRANSFERABLE s *1 0.�.� d, l p'+5' -.gig 2 3 ,7'3:4 z 9.0 9j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL