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1981, 09-24 Permit: 81A-9773 Piping, BurnerNUMBER APPLICATION/PERMIT PERMIT NUMBER IPLAN SPOKANE COUNTY — BUILDING CODES DEPARTMENT I NORTH Bit JEFFERSON / SPOKANE, WASHINGTON 99260 / (509)656-3615 (; 4. -I li APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED 1. (5' P7.gol ADTH LOT BLOCK NUMBER/S I ISUBDIVISIONFri OWNER PHONE 3. � ti 1 fear ADDRESS ZIP ACtual Set Backs In Feet G, r1P Co LUt M rvoah South East west '-r77 ' CONTRACTOR PHONE Sur, of Parcel Zone Clasalflcatlon L::�s' f A 1.8-gal _ _,, G'd ca 4' ADDRESS ZIP Type Const. Occupancy SprmklemE Aa• IU i QI Ell.,❑No ElReg'E, DESIGNER PHONE Valuation BuhEing Area In Sq. Fl. 6. _ ADDRESS ZIP Main From Upper It..,, Garage Area 5[ordge CHANGE OF USE FROM TO Arca of Decks Fn"uhed Basement Dour. Basement 6. GIC. J�a CIAa No. Baths No, Stones No. Rooms of Dwellin91 TYPE NEW ❑ALT. ❑ qD'N. ❑ RPL. ❑ MVE. INC ]. OF ❑OTHER CERTIFICATE Req•a. Rec•e. Not Req•0. BLD. ❑ PLMB. 61 MECH. ❑ M.H. El POOL a WORK of EXEMPTION DESCRIBE WORK Form. Dist. Lotatlon (Area) 6 chh5 7ptat pV` A N FEES COLLECTED VALUATION SOV RCE GAs ELECTRIC WATER SEWER Ow" ipUSE CODE 9. UTI LOITIES PapIIC DPnvate ❑ I 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 to• law regulating onshuction or the Or performance of construe Ion. SEE REVERSE SIDE FOR REQUIRED INSPE TI Plumbing C March. DATE OF APPLICATION—� SIGNATURE OF APPLICANT - SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE 21' lh 2 al 4z Plan Check Fe.. Heaun SEPA planning Mobile Home Other ISpecifyl Fire Marsnau Co. engineer uni it�es TOTAL $1P;•C'Ys Pians Examiner WHEN MACHINE VALIDATED THIS BECOMES A PERMIT. IN THIS SPACE, SEPA mrnckllsv. PERMIT IS NONTRANSFERABLE ;Q g',-?'4'=6T 9 77.3 z •'1 & 0 0 ° - a�uam� re hn t lu PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL