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1980, 05-09 Permit: 80-4508 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESSSEE ATTACHED // LEGAL DESCRIPTION — ,. ,qc� �- _ f,� LOT I BLOCK SUBDIVISION PARCEL NUMBER/S OWNER PHONE ADDRESS ^' ZIP Required Set Backs in Feet J North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Ar;7 Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF OTHER BLD. LMB. E]MECH: ❑ M.H. El POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK �� ' �/ / /V E- FEES COLLECTED 8.VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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 i1 '(4, to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing �•ry performance of rconstruction. DATE / 'SSIGNATURE SIGNATURE �T�` r ' Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DATE) Q� OFFICIAL &" APPROVED MRSSUANCE SEPA Mobile Home Other (Specify) PERMIT NUMBER 04* *30.50 *30.50 N *3Q50� E *0.00 450,72 05-0-80 2 61479. wk, TOTAL $ • O•Sa WHEN MACHINE VALIDATED IN THIS SPACE, THIS COM APERMIT. {�80 450.82 *3Q50°a,-'