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1980, 07-21 Permit: 80-7408 Plumbing Fixtures
PLAN NUMBER 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 JOB ADDRESS C120 9:- LEGAL DESCRIPTION — SEE ATTACHED nr Qi nry ciQnincinni on oi-�i nn nnocoic OWNER /y��i�.�i /itC P.I.ZONE ms 3. f/ -/viV -6 ADDRESS' /5;.2 Required Set Bac Feet © Recd. North South East West CONTRACTOR PHONE Size of Parcel Zone Classification Z' DESCRIBE WORK FEES COLLECTED �.-!�✓1 $ t�Z �� e C 4. ADDRESS % ZIP �5��7 Type Const. FOccupancy Sprinklered �©;pC(p/(( %�+/��� Single $ ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. type of work will be complied with whether specified herein or not. The granting of a permit does not presume 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. DEPT. REQ'D. REC'D. Plan Check Env. Health No. Baths No. Floors No. Rooms Rec. Room PERMIT NUMBER p --711,0K DATE 2./ �(J 03* *28.00 *2500 *28,00 E *0.00 740.72 07-21-80 2 6479. TYPENEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. %, OF l ❑OTHER j WORK BLD. L]YPLMB. F-1MECH: ElM.H. 1:1POOL CERTIFICATE Req'd. Recd. Not Req'd. /` of EXEMPTION Z' DESCRIBE WORK FEES COLLECTED �.-!�✓1 $ t�Z �� e C _ /�/.'/'eS VALUATION Source GAS ELECTRIC WATER SEWER of 9, Utilities / 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the�� performance of construction. Plumbing (�/� DATE 2 — d `� SIGNATURE _ �� �' "'c' Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Other (Specify) Co. Engineer Utilities TOTAL $ Zone Clearance IN THIS SPACE, WHEN MACHINE VALIDATED SEPA Checklist --2/ �OFF1CIAL � THIS BECOMES A PERMIT. �: hi } �r t �) �c L i �- DATE7•Q•[- "� _ _ APPROVED FOR ISSUANCE