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1980, 03-28 Permit: 80-2838 Mechanical Fixtures
PLnN NUMBER APPLICATION/PERMITPERMr? NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT %C) - a3$ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS WATER SEWER Single $ ! on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building LEGAL DESCRIPTION - SEE ATTACHED 1.BD ff 7/ s DATE SIGNATURE Mech. LOT BLOCK S IVISION Env. Health SEPA PARCEL NUMBER/S 2. Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities OWNER TOTAL $_ Zone Clearance PHONE IN THIS SPACE, WHEN MACHINE VALIDATED aREM V 3. ADDRESS 1/ ZIP Required Set Backs in Feet E � '— L d North South East West CONTRACTOR ePHONE Size of Parcel Zone Classification A-1 A!� - 4' ADDRESS tip Type Const. Occupancy Sprinklered Dyes [-]No ❑ Req'd. DESIG ER PHONEValuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW ElALT. ElAD'N. ❑ RPL. ElMVE. 7, OF ElBLD. ❑ PLMB. �MECH: [IM.H. El OTHER POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK FEES COLLECTED 8 �— � � �, + © 1� X7,00 *7,00 7.00Y ,0.()f; 2R3.7K (u -28-O0 6.4.79, VALUATION Source 9, Utilitiesof GAS ELECTRIC X WATER SEWER Single $ 1 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 SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $_ Zone Clearance IN THIS SPACE, WHEN MACHINE VALIDATED SEPA Checklist THIS BECOMES A PERMIT. ra n A— Aw YN� APPROVED FOR ISSUANCE