1979, 10-12 Permit: 79-5923 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
E. 79. r% 8 oil e
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK SUBDIVISION
PARCEL NUMBER/S
OWNER
3 Pee Pa 11 P
HON
6439
ADDRESS ��ff p�
COI A7122/ ( /SC° Ale
4. %') 6f._-1� i yytS
E S
ADDR
�Q 7 eAil_
ZIP
Required Set Backs in Feet
North (South East
West
7AtVC.
PTP-'-gvira
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
iroNIEW
❑ BLD.
ZIP
92-06
PHONE
ZIP
TO
)(ALT. ❑ AD'N.
XPLMB. ❑ MECH:
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
Size of Parcel
Type Const.
Occupancy
Zone Classification
Valuation
DWL Area
Basement Area
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area Storage
Split Entry
Split Level
Ranche
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gov
type of work will be complied with whether specified herein or not. The granting o a permit d
to give authority to violate or cancel the provisions of any other state or Io;j. y !Ing c
performance of construction.
DATE /� 1/ 1C1
SIGNATUR
la
egul
ns
included
gthis
ume
not pr
ruction
the
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Helilth
Planning
Fire Marshall
Co. Enginee
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE//1 --/Z-7(OFFICIAI .���%"'�'� I�Q/.'^�'L'—
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building �j /7
Plumbing flOit0
Mech.
Plan Check
SEPA
Mobile Home 3:.628
�1
Other (Specify) " "
TOTAL $ G `"
/31
DATE
PERMIT NUMBER
79-593
1Q /1-7?
03* *1300
* 1300 N
* 13006
B *Q00
5922
10-12-79
2 6479.
t
J
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1�L-.12`-i 9
5'92'3
*130,0.21
L
DATE REMARKS
RECORD. OF INSPECTIONS
T
Final Inspection
INSPECTED BY
1C -15-..\U
55
4,OCC
4-12.00
*120e