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1980, 09-25 Permit P80B-0928 InspectINSPECTION RECORD OWNER ' LOCATION CONTRACTOR NSE W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: c.,ste c.c. ire PLAN NU II fi 1 APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH MI JEFFERSON / SPOKANE, WASHINOTON 69200 11609) 466.3616 ENMIT NUMSER JOE ADORESS APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 7� S. 4814 S encer Lane l LEGAL DESCRIPTION — SEE ATTACHED L9T BLOCK (I C OWNER William &.Barbara Smith ADDRESS E. 9004 - 44th.. Spokane, Wash. CONTRACTOR M111er's Plumbing AODRE30 E. 623 Liberty, Spokane. Wash. DESIGNER 6' ADDRESS HONE 924-6984 99206 PHONE 483-2025 2199207 PHONE PARCEL NUMBER'S AGuel Set Berm In 'South I Norm art SIJe or Parcel Type court. Occupancy IW.II Zone Cleemlauon Sprinkler.d Dons 0No 0 Req.. Building Area In Sq. Ft. ZIP Mein Floor Upper Moore Garay., Area CHANGE OP USE PROM a TO rl.[ MB• I: WP WORK O SLD. y0y.ALT. 0 AWN. CIRPL 0 MVE. a OTX6R Y RMS. 0 MECH. 0 M.H. ❑ Pao` Area or Decks FInIMM Ba.em.nt No. Baths I No. SIONM CERTIFICATE of EXEMPTION No. Room. Unlln. Basement No. of OwHIInpe Roc d. rot R.q'J. Duc0l9E WORK .IL P1 Ins instal lation` - New - 'FR VAL T SOURCE GAS L ELECTRIC WATER SEWER own.nMp USE CODE a UTlul'ES Public OPrlv.1. 0 I hereby cattily 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 movlsions of laws and ,n,llnances governing 1111s type of work will be compiled with whether specified herein or rut. The granting of a permit does not presume to glue authority to violate or cancel the provisions of any other stele or local law regulating construction or the performance o/ construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS , �/ 4 DATE OF APPLICATION 9-24-80 SIGNATURE OF APPLICANT —2_"l' Jl..1.Eh 1 MECUM APPROVALS NAME RATE Env. Health Pl.nnlnp . ti m Emminer EMIT. Calt. Location (Am) NECIAL CONDITIONS: I \ 18 Fixtures 9 $2.50 ea. + $3.00 Permit Fee = $48.00 FEES COLLECTED single $ Building Plum5Ing Mech. Plan Caeca &EPA Mobil. Homo 45.00 Fher ISp.cllvl ee TOTAL $ 3.00 48.00 03e •48010 •4800 •480'0 0000 927R 09-26'-80 y 64.79, 8