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1983, 03-25 Permit: 83A-2228 Plumbing FixturesNUMBER APPLICATION/PERMIT 43 1 SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON -99260 / (509) 456-3675 Engineer Utilities SEPA Pians PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building ti IN 180 DAYS TOTAL $ n' 0 PERMIT NUMBER ts--2A - �21_26 a00 4'000 222.7 25-83 6479: WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03-25-83 222.82 *53.002) DATE ISSUED PERMIT NO. TOTAL a O W J APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES No. Floors STREET ADDRESS No. Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. PARCEL NO. r/� 7. OF ❑ OTHER LOT BLOCK SUBDIVISION Required Yes❑ No❑ Number LEGAL DESCRIPTION: 2. or Variance Received Yes❑ No❑ DESCRIBE WORK //, }�c. Shorelines/ Flood Hazard Plans Required ❑ OVINER PHONE PHONE VALUATION SOURCE OF MAILING ADDRESS PUBLIC ❑ ZIP Actual Set Backs in Feet to: FEES COLLECTED 9• UTILITIES North South East West PRIVATE ❑ CONTRACTORLICENSE EXPIRES PHQ / Size of Parcel Zone Classification Residential ❑ Commercial ❑ work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building thority 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 4. ADDRESS/ / e"ls�!�T r'LL£': OWNER OR AGENT DATE f r Type Const. Occupancy Sprinklered Dyes ❑No ❑Req'd. / DESIGNER PRELIM. FINAL DATE PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. '4: .% . ,.- SEPA Modular/ ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse ,vf� / �s-/f MFG. Home Fire Prevent. CHANGE OF USE FROM TO � Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. Other (Specify) Engineer Utilities SEPA Pians PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building ti IN 180 DAYS TOTAL $ n' 0 PERMIT NUMBER ts--2A - �21_26 a00 4'000 222.7 25-83 6479: WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03-25-83 222.82 *53.002) DATE ISSUED PERMIT NO. TOTAL a O W J No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER Certifi.ofExempt. Required Yes❑ No❑ Number ❑ BLD. L�IPLMB. ❑ MECH. ❑ M.H. ❑ POOL WORK or Variance Received Yes❑ No❑ DESCRIBE WORK //, }�c. Shorelines/ Flood Hazard Plans Required ❑ 8• c_- o i •t. % �i'! c /._ C%iii yes ED Not Applic. ❑ Received ❑ VALUATION SOURCE OF GAS ELECTRIC PUBLIC ❑ SEWAGE E❑ Ownership FEES COLLECTED 9• UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building thority 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 SIGNATURE OF ' APPLICATIO Mach. OWNER OR AGENT DATE SPECIAL APPROVALS SPECIAL ONDITION& (SEE REVERSE SIDE FOR NOTICE) / Plan Check PRELIM. FINAL DATE /Tl��'Z' �- /�•�. % Env. Health '4: .% . ,.- SEPA Modular/ Planning ,vf� / �s-/f MFG. Home Fire Prevent. � Other (Specify) Engineer Utilities SEPA Pians PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building ti IN 180 DAYS TOTAL $ n' 0 PERMIT NUMBER ts--2A - �21_26 a00 4'000 222.7 25-83 6479: WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03-25-83 222.82 *53.002) DATE ISSUED PERMIT NO. TOTAL a O W J