1980, 01-25 Permit: 80-580 Plumbing Fixtures!PLAN 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 /� C ES7
LOT
BLOCK
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SUB !VISION
LEGAL DESCRIPTION - SEE ATTACHED
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DESIGNER
5. ADDRESS
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
East
'West
PHO E
Size of Parcel
Zone Classification
Rao
Type Const.
Occupancy
Sprinklered
❑Yes ❑Na ❑ Req'd.
PHONE
Valuation
Building Area In Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
YEW ❑ ALT.
C7 BLD. ti PiLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTI FICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
9.
/yi// RK7/ / NiL47zf.C'
VALUATION
Source
of
Utilities
Res 116,4,,.),21
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 not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local aw resulating construction or the
performance of construction.
DATE A r � .a0 SIGNATUR
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
-ate -g0 ���
DATE OFFICIALA,,�ri�/
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $N �' V
P
PERMIT NUMBER
so-s$ot
DATE - `?0
03*
* 2550
* 2550 tz
* 2550'6
E *000 E
57.98
01-25-80
61479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01)-215'-18'0'
58.0z *25.5u ..
DATE REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
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