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1979, 08-29 Permit: 79-3048 Plumbing Fixtures
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT ›0 44, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 3 * * 3 3 0 0 JOB ADDRESS r // 0 HZ-47 LEGAL DESCRIPTION — SEE ATTACHED * 3 3.0 0tn 1. LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 006 2. A * 0.00 0 OWNER PHONE 3 304.72 ADDRESS ZIP Required Set Backs in Feet 08-29-79 North !SouthEast (West CONTRACTOR PHONE Size of Parcel Zone Classification 2 6 4 7 9, 4 . 14-e__I t 0 ©t�c..s•-r-, aro 7i .s 4. ADDRESSS � ZIP Type Const. Occupancy Sprinklered Y, D ,v �7 vic `4 6 ? 9 9-,2//� ❑Yes ❑No CIReq'd. B�7�YVCR- PHONE T Valuation Building Area in Sq. Ft. 5. P D r 0"3,5--1 ADDR ZIP DWL Area Basement Area Garage Area Storage 91, CHANGE O USE FROM T' Split Entry Split Level Rancher 6. � No.Baths No. Floors No. Rooms Rec. Room U TYPE 41EW ❑ ALT. El AD'N. ❑ RPL. ❑ MVE. 7. OF El OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK El BLD. CI PLMB. 1:1MECH: 0 M.H. 1:1 POOL of EXEMPTION DESCRIBE WORK N-" 8. / • 1_''X lite 44-, 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. Th- • . g of a permit does not presume to give authority to violate or cancel the provisions of any other state • ••• :w re I g con uction or the performance of construction. Plumbing DATE SIGNATURE ' •" `___."—v s Mech. SPECIAL APPROVALS SPECIA • DITIONS: DEPT. i REQ'D. REC'D. Plan Check Env.Health rc SEPA `.D Planning - J L.1n Mobile Home Fire Marshall Co. Engineer Other(Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, r SEPA Checklist THISBECOMESAPERMIT.` '` tro,..,_62._. 0L y tJIg 8 * 3 3. 0O 1-2 DATE OFFIC ^ ,40111I111154111111 a APPRO FOR ISSUANCE