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1980, 05-09 Permit: 80-4509 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE n PERMIT NUMBER /✓ 1 � -A,50 C1 03* *28,00 *2800 '60- *2800 E *000 00 450,6 05-09-80 ;? 61479. DESCRIBE WORK � 8. IQ j APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS Source GAS ELECTRIC WATER SEWER LEGAL DESCRIPTION — SEE ATTACHED of utilities LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. I I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included — OWNER �� �4 `Z `e PHONE 3. TG + c9 - to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing ©� ADDRESS - ZIP performance of Construction. Required Set Backs in Feet �v�7'y�' �_ � � 's Mech. North South East West SPECIAL APPROVALS SPECIAL CONDITIONS: CONTRACTOR.--�-_ , ��I o! PHONE Size of Parcel Zone Classification 4' i Env. Health SEPA ADDRESS/ ZIP Planning Type Const. Occupancy Sprinklered (Q G w CL Mobile Home ❑Yes [:]No ❑ Req'd. C/) Z DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' TOTAL $ ADDRESS ZIP DWL Area Basement Area Garage Area Storage SEPA Checklist THIS A PERMIT. DATE J 7 OFFICIAL e `- r1BECOMES U Ir:., o 7. —t8 • O [ ?� Q (� S J R i/ Z * 2 0. O U O CHANGE OF USE FROM TO a -- Split Entry Split Level Rancher 6. TYPE ,,��,,j{ �L�t•,NEW ❑ALT. El AD'N. 1:1 RPL. El MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF�cTr�f` / ❑ OTHER BLD. Ij�PLMB. 11MECH: ElM.H. 1:1 POOL I CERTIFICATE Req'd. Rec'd. Not Req'd. WORK / of EXEMPTION DATE n PERMIT NUMBER /✓ 1 � -A,50 C1 03* *28,00 *2800 '60- *2800 E *000 00 450,6 05-09-80 ;? 61479. DESCRIBE WORK � 8. IQ j FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER 9. of 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 Plumbing ©� performance of Construction. �_ � � DATE � � SIGNATURE= .t + Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health SEPA �o Planning (— U w CL Fire Marshall Mobile Home C/) Z Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS A PERMIT. DATE J 7 OFFICIAL e `- r1BECOMES U Ir:., o 7. —t8 • O [ ?� Q (� S J R i/ Z * 2 0. O U O APPROVED R SU NCE a --