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1981, 05-05 Permit: 81A-4338 Mechanical FixturesKLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER M 451 -= SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS SS 11 LEGAL DESCRIPTION — SEE ATTACHED BLOCK ISUBDIVISION PARCEL NUMBER/S 2. OWNER PHONE 3. S P. tc�c 2�J c. DRE ZIP Actual Set Backs in Feet C � © North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4' A DRESS f� ZIP Type Const. Occupancy Sprinklered Lk 1.�.\ �� N— � ❑Yes [-]No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement s. TYPENo. Baths No. Stories No. Rooms No. of Dwellings EW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. kChIlIECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED VALUATION I SOURCE GAS ELECTRIC ATER SEWER Ownership USE CODE 9. UTILOITIES Public El Private ElSingle$ I hereby certify that I have read and exa fined 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS \�� Plumbing nArc nr- ADDi 10Arinni SIGNATURE OF APPLICANT` � Q � ® —1- �' "�U.-,C1f 0 Mech. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner ^� PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ ou* *19.00 z•r _: V 0 UJ * 1 9.0 0 4337 05-05-81 21, 6,[79. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 04�t 01 5= 81 43A82' DATE ISSUED PERMIT NO. i *19.00aF _ TOTAL SPECIAL CONDITIONS: ^� PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ ou* *19.00 z•r _: V 0 UJ * 1 9.0 0 4337 05-05-81 21, 6,[79. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 04�t 01 5= 81 43A82' DATE ISSUED PERMIT NO. i *19.00aF _ TOTAL