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1980, 12-22 Permit P80B-5156 Plumbing FixturesPLAN NiJMBER 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 1. 2. 3 4. 5. JOB ADDRESS E. 10410 Ferret Dr. LOT OWNER BLOCK SUBDIVISION W.R.S. & Associates PHONE 928-3380 LEGAL DESCRIPTION — SEE_ATTACHED PARCEL NUMBER/S ADDRS. 326 Pines Rd. Spokane, Wash. CONTRACTOR Miller's Plumbing ADDRE. 623 Liberty, Spokane, Wash. DESIGNER ZIP 99206 PHONE 483-2025 ZIP 99207 PHONE Actual Set Backs in Feet North 'South lEast (West Size of Parcel I Zone Classification Type Const. Occupancy Sprinklered ❑Yes No ❑ Req'd. Valuation (Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement XXNEW yy0//ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. XXPLMB. ❑ MECH. 0 M.H. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. Plumbing Installation - New - SFR VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Enum. Dist. I Location (Area) Ownership Public ❑ Private ❑ USE CODE 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 construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION 12-22-80 SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: 16 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $43.00 1) kitchen sink, 1) dishwasher, 1) laundry, 3) basins 3) toilets, 1) tub, 1) shower, 1) water heater, 1) floor drain + 3) piece rough -in in basement (1)basin 1) toilet, 1) shower) Jar e7z, -go FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) Fee TOTAL $ 43.00 40.00 3.00 re_rarvn • 03* *43.00 *43,00 N * 43.006 A *0,00 5155� 12-22-80 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. B 'din Tefi�hnicia 121=2-80 515,6 Z *43.00 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT IS NONTRANSFERABLE O J — a� PERMIT NO. TOI A i