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1979, 07-06 Permit: 79-167 Plumbing Fixtures
r== APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK ,,/J FEES COLLECTED 8. %K %w 2: a tt noel kl-f� DATE PERMIT NUMB/ER —� 03* *43.00 *43,00 N 166 07-06-79 ;g 6479. VALUATION Sourc GAS U 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing performance of construction. °7 DATE SIGNATUREMech. SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check DEPT. REQ'D. RECD. Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities 1� TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. SEPA Checklist 0 7— 0 6-7 9 16, 7 25 DATE OFFICIAL APPROVED FOR ISSUANCE *43.0,0°. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB A D//RESS �. LEGAL DESCRIPTION — SEE ATTACHED 1. ©1�f' LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. p- ERo E5 7 32 5-4 S - 9ck93 OWNER PHONE ( —7780 3And ADDRESS .S ZIp Required Set Backs in Feet :� e,O / o z E p 1 ! 2./'14 North South East West CONTR CTOR PHONE 5193- 2-6 Size of Parcel Zone Classification 79(Ae- p y 4. ADDRESS } ZIP Type Const. Occupancy Sprinklered �—o �y Dyes %4 T C Zo7 ❑No E:1 Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6 No. Baths No. Floors No. Rooms Rec. Room TYPE U4-NEw ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ BLD. 9.PLMB. ❑ MECH: ❑ M.H. ❑ OTHER ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK ,,/J FEES COLLECTED 8. %K %w 2: a tt noel kl-f� DATE PERMIT NUMB/ER —� 03* *43.00 *43,00 N 166 07-06-79 ;g 6479. VALUATION Sourc GAS U 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing performance of construction. °7 DATE SIGNATUREMech. SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check DEPT. REQ'D. RECD. Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities 1� TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. SEPA Checklist 0 7— 0 6-7 9 16, 7 25 DATE OFFICIAL APPROVED FOR ISSUANCE *43.0,0°.