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1982, 10-12 Permit: 82A-9400 Plumbing FixturesPLAN NUMBER APPLICATION' 'PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT fi NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES CO -QR� JOB AD RESS /�17/6 41!5*- Ve/0 Size of Parcel LEGAL DESCRIPTION —SEE ATTACHED ~ LOT BLOCK UBDIVI ION 4. ADp nES S �y D E PARCEL NUMBER/S 2. Occupancy I DESIGNER PHONE Valuation OV�G� W 3. RMONE ADffESSActual 5' ADDRESS Set Backs in Feet Main Floor Upper Floors I p (�../ C7/ North South East West CO -QR� ONE Size of Parcel Zone Classification ~ Co. Engineer Utilities Plans Examiner 4. ADp nES S �y D E P Type Const. Occupancy Sprinklered ❑Yes [:]No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 8,,,7AD'N. TYPE`AD• ❑ No. Baths N o. Stories No. Rooms No. of Dwellings ❑ NEW ❑ALT. L1-1 RPL. MVE. 7, OF❑ OTHER 1:1BLD. 1P'1LMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I DIE=;; 0 K O Enum. Dist. Location (Area) FEES COLLECTED 8. VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF UTILITIES Public ❑Private El 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 local law regulating construction or the 17 929 performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing Mech. DATE OF APPLICATION " "` SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE SPECIAL CONDITIONS: '� �Q � */,—/Env. 1 r L�o-� Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) PERMIT NUMBER o-6 ( 03* * 1 7.00 939,9 10-12-82 6.479. ,s TOTAL $ �7 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10 12-82 940.025 DATE ISSUED PERMIT NO *17,OOafj- TOTAL