1979, 07-19 Permit: 79-788 Plumbing FixturesiPLAN 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 A_QDRES1S
LO BLOCK K S UBDIVISI
2. / -o-ge.
4LOGvi Pt/
3.
OWNER
iii ESS T/4k-so0t)
T RA TOR
/c e 5 t-''pit lit
L
4.
ADDRESS (41),L
GNER jL
PHONE
2q-i744
ZI P
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
Required Set Backs in Feet
North
South
{East 'West
PHONE
3,1-6- SZ06-2
Size of Parcel
Zone Classification
ZIP
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
5' ADDRESS
ZIP
DWL Area I Basement Area
Garage Area
6.
CHANGE OF USE FROM
TO
Split Entry
Split Level
7.
TYPE
OF
WORK
❑ NEW
❑ BUD.
❑ ALT.
PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Storage
Rancher
Rec. Room
Recd. Not Req'd.
9.
DESCRIBE WORK
VALUATION
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 no The sra( ting of a permit does not presume
to give authority to violate or cancel the provisions of any other s or l.ca\ aw regulating construction or the
performance • constr ction. vv
DATE
DEPT.
Env. Health
Plann ing
Fire Marshall
Co. Engineer
Utilities
SIGNATURE
SPECIAL APPROVALS
REQ'D. REC'D.
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 07/19' OFFICI
APPRO j' ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
.2>eL)
TOTAL $ IJ()
DATE
PERMIT NUMBER
75S
03* *35.50
*3550
*35506
A *0.00
7a72
07 -19 -79
2 61179,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-19-79
78,82 *35,50 a
,
RECORD OF INSPECTIONS
DATE REMARKS
Final Inspection
INSPECTED BY
qtt Ad —
0A-16-Ad
,18A1
*000 8
*2220T4
*2220 F-2
(12* 20
J