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1979, 10-30 Permit P79-6996 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 4 COPIES JOB ADDRESS 43 LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION 3. 4 OWNER_ �: Y ADDRESS CONTRACTOR DDR&S, DESIGNER ADDRESS CHANGE OF USE FROM 6. TO PHONE ZIP PHONE // I (, ZIP_ PHONE ZI P PARCEL NUMBER/S Required Set Backs in Feet North 'South Size of Parcel Type Const. Valuation East West Zone Classification Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. DWL Area I Basement Area Garage Area Storage Split Entry Split Level Ranche TYPE 7. OF WORK ❑ NEW ❑ BUD. 0 ALT. 0 AD N. PLMB. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER 8. 9. DESCRIBE WORK.6314. VALUATION Source of Utilities GAS ELECTRIC No. Baths No. Floors CERTIFICATE of EXEMPTION WATER SEWER No. Rooms Rec. Room Req'd. Rec'd. Not Req'd. 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 tvne of work will be complied with whether specified herein or not. The granting of a permit does not presume ve authority tc, violate or cancel the provisions of any other state or local law regulating construction or the pei rormance of construction. DATE / O gU / SIGNATURE DEPT. SPECIAL APPROVALS RECt'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL p PERMIT NUMBER DATE %�/ Q/7 03* *13.0y0 * 13.00 5 * 1 3.0.06 B *Q0.0 69952 10-30-79 R 6479. ce F— w _ w 0 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 699.65 *1300 aF DATE OFFICIAL V2k0J'4V-1-1'6✓6". APPROVED FOR ISSUANCE 10-50-79