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1983, 01-06 Permit App 83A-0095 Plumbing FixturesPLAN 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 LEGAL DESCRIPTION —SEE ATTACHED 2. 1 1 O NER �1 JJ 3. ee /��/SGiLJ ADDRESS � y CONTRACTOR ll// 4. .�' ADDRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM TO s. P ZIP pe ❑Yes ONO ❑ Req'd. TYPENEW ❑ALT. ® O'N. ❑ RPL. El MVE. No. Baths No. Stories No. Rooms No. of Dwellings ❑ %, OF El OTHER WORK � BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 13 POOL CERTIFICATE Req'tl. I Rec•tl. Not Req'tl. of EXEMPTION s DESC WOR Enum. Dist, Location (Area) FEES COLLECTED / PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE fV� TOTAL $ G� WHEN MACHINE VALIDA7 THIS BECOMES A PERMIT. 0,7 0 6 8) nATF ISRIlIFn PERMINUMBER 03* *21.00 *21.00 A *0.00 9.42 -01-06-83 2 6479, - 95z PPRMIT Nn f 2 10 0 (L – TnTAI VALUATION SOU GAS ELECTRIC WATER SEWER Ownership USE CODE 9. PC OF 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 INSPECTIONS Plumbing `) DATE OF APPLICATION— SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS mmmmummmolm— SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health Lcb+— SEPA Planning Mobile Home Other (Specif Fire Marshall Co. Engineer / PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE fV� TOTAL $ G� WHEN MACHINE VALIDA7 THIS BECOMES A PERMIT. 0,7 0 6 8) nATF ISRIlIFn PERMINUMBER 03* *21.00 *21.00 A *0.00 9.42 -01-06-83 2 6479, - 95z PPRMIT Nn f 2 10 0 (L – TnTAI Lo-( '721 AWr-