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1979, 08-10 Permit: 79-1986 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT f �/ [ate NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 0 3 * * 2 8 0 0 �� r LEGAL DESCRIPTION - SEE ATTACHED p LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 2 8'0 0 U~.` 2. * 2800 OWNER ��pp p� PHONE 3. q��: cep /+'u- ' 5:74-/_./61 A *000 E ADDRESS �J , ZIIPC��/�1 Required Set Backs in Feet 1 9 p 5 / / ; ���.z.„, ,g ‘ North !South East (West f a CO TR TOR PHONE Size of Parcel Zone Classification 0 8- 1 0-7 9 6 y. Z C 4. _ 6 4' ADDRE S � ZIP Type Const. Occupancy Sprinklered l.7 9, .3(N� ^ 92id 3 �7 ❑Yes ❑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 r(NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF S ❑ OTHER WORK El BLD. C1�PLMB. ❑ MECH: ❑ M.H. El POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DES `tIBE WORK 8. ie 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing performance of construction. Plumbing DATE SIGNATURE_ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health x SEPA o F-- Planning iy a_ Mobile Home cf) Fire Marshall z Co. Engineer Other (Specify) Utilitiesrr�� ©° pS TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist Q THIS BQECOMES APERMIT. n DATEQ[? fP'l.7 7` OFF P'---- 3 s' 0 U — 1 0 l 7 9 1 9 8.6 Z * 2 8. 0 0 1 1- � t APP OVED R ISSUANCE