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1979, 08-08 Permit App: 79-1832 Plumbing Fixtures
r777= APPLICATION/ PERMIT SPOKANE COUNTY — BUILDiNG CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 1 JOBCR ES io� 6 %� , , LEGAL DESCRIPTION - SEE ATTACHED © l/��C�`'L� LOT BLOCK SU D V SliON fl PARCEL NUMBER/S 2. l d-� 33D v �,r�c �, s ��I-e 2 �� Q�- 3 3 3. Dw, a-\(- \ VR� -3- M 17 ARESS ZIP 'F-. & 11 S CONTRAC R -h l `i,�1n� /19\DR,SS CJ -- DESIGNER U. ADDRESS CHANGE OF USE FROM ITO 6. �/ -?;c7 Required Set Backs in Feet North South East West NE �.�-lea Size of Parcel Zone Classification Z Type Con Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP DWL Area Basement Area Garage Area Storage Split Entry Split Level Rancher No. Baths No. Floors No. Rooms Rec. Room TYPE[NEW El EW ❑ AD -N. 1:1RPL. ❑ MVE. %, OF El Elc ate/ 11I--] OTHER ❑ BLD. LMB. ❑ MECH: M, H. ❑ POOL CERTIFICATE Req'd. Red. Not Req'd. WORK of EXEMPTION 8 nRIBE WO K Ll� �1 CA_ { Ate. 'M+ 11 "�J FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER of 9. utilities I 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 Building type of work will be complied with whether specified herein or not. The granting of a permit does not presume DO to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Plumbing Q� DATE D — SIGNATURE csk Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: . f6ol fc- N 3ys� DATE O ICI L '¢— n on n cno Iccnnnlnc Plan Check SEPA Mobile Home Other (Specify) TOTAL $ WHEN MACHINE VALIDAI THIS BECOMES A PERMIT. 08-08-79 (�) PERMIT NUMBER DATE 03* *4800 *4800 *48,00 A *0,00 0 183.12 08-08-79 -R 6479, IN THIS SPACE, 183,2- *48,00x; C C h C L C c RECORD OF INSPECTIONS Final Inspection DATE REMARKS INSPECTED BY jK71 �rg800Q Yrtnn!! N M • 41600