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1980, 01-31 Permit: 80-792 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 TYPE LJ-flEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF�j� ❑ OTHER WORK El BLD. 4� PLMB. ❑ MECH: ElM.H. 1-1POOL CERTIFICATE Req'd. I Rec'd. Not Req'd. of EXEMPTION 8. DESCRIBE WORK 41 FEES COLLECTED VALUATION11 urce 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 performances of construction. Plumbing DATE % /.a%/ff SIGNATURE ,t;,��� Mech. SPECIAL APPROVALS DEPT. REQ -D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED Mobile Home if LOT BLOCK SUBDIVISION $�' PARCEL NUMBER/S 2. i (AJ I �— THIS BECOMES A PERMIT. DATE OFFICIAL P/)AV— 44i21/!it/�i L,— APPROVED FOR ISSUANCE OWNER PHONE 3. AI5[:5RES9 ZIP Required Set Backs in Feet North South East West CON ACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIPp Type Const. Occupancy Sprinklered �%T ❑Yes ❑No ❑ Req'd. �•. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area Basement Area Garage Ar;WT Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE LJ-flEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF�j� ❑ OTHER WORK El BLD. 4� PLMB. ❑ MECH: ElM.H. 1-1POOL CERTIFICATE Req'd. I Rec'd. Not Req'd. of EXEMPTION 8. DESCRIBE WORK 41 FEES COLLECTED VALUATION11 urce 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 performances of construction. Plumbing DATE % /.a%/ff SIGNATURE ,t;,��� Mech. SPECIAL APPROVALS DEPT. REQ -D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: Plan Check SEPA Mobile Home if Other (Specrf ) c I L(•� $�' TOTAL i (AJ WHEN MACHINE VALIDAT �— THIS BECOMES A PERMIT. DATE OFFICIAL P/)AV— 44i21/!it/�i L,— APPROVED FOR ISSUANCE PERMIT NUMBER SS4— 79-Z DATE rt r1 CI c. 7 9. 1 OP C11-31 6..b 7 9.. )ACE, ,025.8.'u�'� i n 0 I— U Z