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1984, 02-15 Permit 84A-1278 Plumbing Fixtures
JOB ADDRESS LOT OWNER 3 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 BLOCK 1SUBDIVISIUONChlnSOn ADDRESS 4' ADDRESS 6. David Balch PHONE LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S CONTRACTOR King Mechanical Contractor Inc. ZIP Same W. 611 Tieton DESIGNER PHONE 466-3550 ZIP 99218 Actual Set Backs in Feet North South Size of Parcel Type Const. Occupancy East West Zone Classification Ferman Pasp ADDRESS N. 909 Pines Rd. CHANGE OF USE FROM T PHONE 926-9555 ZIP 99206 Valuation Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Main Floor Upper Floors I Garage Area TYPE 7. OF WORK 9. EX NEW 0 BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER Area of Decks Finished Basement No. Baths No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Storage Unfin. Basement No. Rooms INo. of Dwellings Req'd. Ownership Public ❑ Private 0 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 Location (Area) DESCRIBE WORK Install plumbing fixtures VALUATIONSOURCE GAS IUTIOF LIT! ESI ELECTRIC DATE OF APPLICATION 2-8-84 WATER I SEWER SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technicia SPECIAL CONDITIONS: 2 toilets 2 basins 1 urnial 1 janitor sink 0449z 4i -6/ PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE USE CODE Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing $29.00 Mech. Plan Check SEPA Mobile Home 0O Other (Specify) � �] V©/ TOTAL C PERMIT NUMBER A- - iii1 03* *34,00 *34,008 A *0.00 127,7z 02-15-84 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 2 *41'5'' 8' 4 DATE ISSUED 1278'5, PFRMIT rin *3'4000 L