1980, 02-07 Permit: 80-933 Plumbing FixturesPLAN 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 ADDRESS
1. Sty i.-2..2 G
LOT
2.
BLOCK
3.
SUBDI V fSION
OW IV�,pt PHONE
96 Q
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
AD
R ESS
c
ON RACTOR
4DDRES(S)
S
3 0
ZIP
9'9'.2./$z
Required Set Backs in Feet
North 'South
East 'West
PHONE
Size of Parcel
Zone Classification
ZIP
9 5a, 'l
Type Const.
Occupancy
Sprinklered
Des ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
Valuation
DWL Area
Spilt Entry
Basement Area
Building Area in Sq. Ft.
Garage Area
Storage
Split Level
Rancher
TYPE
7. OF
WORK
Q'(VEW
El BLD. CI_MB. ❑ MECH. 0 M.H. 0 POOL
❑ ALT. ❑ AD N.
❑ RPL. 0 MVE.
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
t' S ce
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 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.
DATE.-/'�/'d SIGNATURE 4-9 rte
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATES DOFFICIAL Lam.
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL��
P
PERMIT NUMBER
DATE
03*
*2550
*2550
*25506
B *0.00 S
932
02-07-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
21- 0 7 J'8'0'
93,32
*25,50°�
RECORD
REMARKS
OF INSPECTIONS
J
:
Final Inspection
INSPECTED BY
05-0.t—;c
d?t"