1980, 11-17 Permit: 80B-3814 Plumbing FixturesAPPLICATION /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.
JOB ADDRESS
N. 4420
LOT
Bannen Court
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
SUBDIVISION
PARCEL NUMBER /S
OWNER
3. Robert Ross
PHONE
922 -2115
ADDRESS
N. 4420 Bannen Court,
CONTRACTOR
4 Martin's Plumbing Company
ADDRESS
East 14313 Trent Ave. Spokane
Spokane, Wa
ZIP
sh. 99216
Actual Set Backs in Feet
North (South
East
(West
5.
DESIGNER
PHONE
924 -9057
Size of Parcel
Zone Classification
ZIP
99216
Type Const.
Occupancy
Sprinklered
❑Yes ❑NO ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
® PLMB.
IZY AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 5 Fixtures
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
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 Nov. 14, 1980 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Z./
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee 3.00
TOTAL $ 15.00
12.50
� &
{'ERMIT NUMBER
P x . 1 3 - Q7) -
03* * 1 5.00
* 1500
* 15.006
A *000
381.38
11 -17 -80
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.11t17-780
DATE ISSUED PERMIT NO. TOTAL
38142 *15,'0020
W
—J
Li