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1981, 08-24 Permit: 81A-8473 Plumbing Fixtures
PLP,.N NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS I �- -- LEGAL DESCRIPTION —SEE ATTACHED LOT I BLOCK SUBDIVISION PARCEL NUMBER/S 2. OWNERI PHON E �-�(!i 3. .' ADD E S P Actual Set Backs in Feet North CONTRACTOR PkAONE South Size of Parcel East West Zone Classification 4. AD RESS 71 P_ Type Const. Occupancy Sprinklered �< !1 ❑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 TYPE1Zr-1 No. Baths No. Stories No. Rooms No. of Dwellings NEW ALT. ❑ AD'N. LJ RPL. ❑ MVE. ], OF � ❑OTHER WORK E) BLD. d PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'c of EXEMPTION DESCR BE WO K ,I Enum. Dist. Location (Area) g, r'� !7 ICS FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER OF Ownership USE CODE 9. UTILITIES Public []Private ❑ 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building to give authority 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 INSPECTIO Plumbing DATE OF APPLICATION �— E/ SIGNATURE OF APPLICANT `�l �^ Mech. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans E> ner N SPECIAL COTDITIONS: r V' �tJ PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) PERMIT NUMBER © 1A, 03* *45,00 *45.00 *4500 A *0,00 847.2 08-24-81 ;F 6.479. TOTAL $ 41572 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. i i t '0 8-12 4' -.Ti' 8 4 7.11 DATE ISSUED PERMIT NO. 18 k *45,00(0- - TOTAL i