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1984, 03-07 Permit: 84A-1929 Plumbing FixturesPLAN NUMBER APPL ICAT ION /PERMIT PERMIT NUMBER SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. . 117,: C I Y -t. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. OWNER PHONE PHONE ;4 3. MAILING ADDRESS ZIP Actual Set Backs in Feet to: North South East West CO TRACTOR` LICENSE EXPIRES kr-444",l104t_rt PE Size of Parcel Zone Classification Residential ❑ 442244 JtAL �? Commercial El 4. A ESSZI 3 F_ f-- ,L.� i— ' 0?1 Type Const. Occupancy Sprinklered 11 Yes Ll No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement s. TOF YPE (�jpL€�/�/ El ALT. 11 AWN. 11 RPL. El MVE. No. Baths No. Floors No. Fin. Rooms No. Dwellings 7 ❑OTHER WORK ❑ BLD. �PLMB. 11 MECH. El M.H. ❑ POOL Certifi.ofExempt. Required Yes 171 No❑ Number or Variance Received Yes 11 No❑ 8 DESCRIBE WORK �� �� Shorelines/ Flood Hazard Plans Required El Yes El Not Applic. ❑ Received ❑ VALUATION 9• I SOOUFCE GAS ELECTRIC PUB WATER IC ❑ SEPT C El SEWAGE Ownership FEES COLLECTED UTILITIES PRIVATE ❑ SEWER E]Public ❑ Private ❑ 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 to give au- thority to violate or cancel the provision other state or local law regulating construction or the performance of construction. SEE REVER E FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION OWNER OR AGENT DATE Mech. SPECIAL APPROVALS PRELIM. FINAL D Env. Health Planning Fire Prevent. Utilities SEPA Plans Exam. Building Tech. SPECIAL CONDI ONS: (SEE REVERSE SIDE FOR NOTICE) 7 v PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plan Check SEPA Modular/ MFG.Home Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DAT nJ(� aw (� �7 1 r� uE n / /' PERMIT 9.2 9 Z a d c: W J LL *50.00 i