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1980, 07-21 Permit P80-7410 Plumbing FixturesPI,AN 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 4 COPIES 2. 3. JOB ADDRESS /.D " �_ ,r,P L'e LOT BLOCK ADDRESS CONTRACTOR P/�/frl //- 4. ADDRE„S2 , / G� r7w'/�y/Z/`.0�j SUBDIVISION 5. DESIGNER Ally » 7e p if4/4 PHON -5 his ZIP PHONE ZIP r4,Zo 2 PHONE LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Required Set Backs in Feet North (South East 'West Size of Parcel Type Const. Valuation Occupancy Zone Classification Sprinklered Lives El No ❑ Req'd. Building Area in Sq. Ft. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM 6. TYPE 7, OF WORK EW BLD. TO ❑,/ALT. ❑ AD'N. IAPLMB. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER Split Entry No. Baths Split Level No. Floors No. Rooms Rancher Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. VALUATION 9. Source of Utilities GAS ELECTRIC WATER SEWER 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 to give authority to violate or cancel the provisions of any other state or local law regulating constuction or the performance of construction. DATE SIGNATURE FEES COLLECTED Single $ Building DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE? '/—�6IOFFICIAL ,�.ia,P Plumbing Mech. Plan Check SEPA Mobile Home 30 ° C/ Other (Specify) TOTAL $ cam' Da PERMIT NUMBER DATE 7'2/—�� 03* *33,00 *33.00 N *33,008 E *000 B 740,9� 07-21-80 6,479. I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 2 1. ;1 74'l02 *33,OOa� a uJt �(, bLz' � r1T w 00 ro 19 S N