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1981, 02-27 Permit: 81A-1873 Plumbing Fixtures
FLAN NUMBER APPLICATION/PERMIT PERMIT/NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES * *45.00 JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED ' 0 0 1. 1190q3'!- --- LOT I BLOCKISUBDIVISIONPARCEL NUMBER/S * 4 0 0 8' 5. 2. OWNER�4sePHONE �, o �u��'p ,�.s £ A * O 0 i {h ;� 3. 1 87.22 ADDRESS ZIP Actual Set Backs in Feet North South East West 02-27-81 CONN ACTOR PHONE Size of Parcel Zone Classification ' 4. qpP ZIP Type Const. Occupancy Sprinklered P3�� q vG ❑Yes []No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage — CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. I No. Baths No. Stories No. Rooms No. of Dwellings TYPE ,/ PIN- 1:1 ALT. F-1 AD'N. 1:1 RPL. El MVE. 7, OF , / ❑ OTHER El BLD. L7 PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. WORK of EXEMPTION I DESCRIBE WOR Enum. Dist. Location (Area) %© ��?(p g-. FEES COLLECTED 8 VALUATION SOURCE GAS ELE RIC WATER SEWER USE CODE Ownership 9. UTILOITIES Public 11 Private ❑ I 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 I of presume to give authority to violate or cancel the provisions of any other state or local law reg ati construc 'on or the 1/S" performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 7w DATE OF APPLICATION ��? /L/ SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS NAME DATE Env. re Marsha Utilities Plans Examiner SPECIAL CONDITIONS: l iv8 1 Gul46o'�� IL Z PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify)CM �,((/�� TOTA L $ , '7%3' WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED PERMIT NO. *4'5,00a�- - TOTAL