1979, 09-24 Permit: 79-4556 Plumbing FixturesPLAN NUMBER
C
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
ADDRESS
/:5 1/ red
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SU IVISION
PARCEL NUMBER/S
3. Ow E�tA ! �/
/a ?c E '' :n ,e,d' ee e "au e
CO ACTOR [/
4. / ,nee-' !rl
ADD ESS /e,s jtoQ ��
DESIGNER
5. ADDRESS
z /6
Required Set Backs in Feet
North 'South [East
'West
Size of Parcel
Zone Classification
gwg
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZI P
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
131-��vv ❑ ALT.
L�BLD. L}'1SLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESC IBE ORK //) `Q %
8. l .S"?Le4 /D it / x)celz S'
V LUATION Sour GAS
of
9. Utilities
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 not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or Kcal I.w regulating construction or the
performance of construction.
DATE 9-011-11 1Z SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health.,
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE /-21/-74?OFFICIALJe4 l—"' �Q/Li1IJ'
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building �����yy��
Plumbing rJ_.7�1.L 2
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL ss3✓iC27
PERMIT NUMBER
79 -.71s-54
Q9 �/
DATE ` 07V-
PERMIT
C V 7�
03* *33.00
*3300 t
*33006
E *Q00 8
455,52
09-24-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09'-24-7H9
455.6a *33.00°
DATE REMARKS
RECORD
OF INSPECTIONS
Final Inspection
INSPECTED BY
06-Sv-sa
E *000 2,
•22005?
.21DC
02' 41206