1979, 07-24 Permit: 79-942 Sprinkler SystemPLAN 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.
BOONE, E. 11105
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
JAY HIGGS
ADDRESS
SAME
PHONE
'924-4689
ZIP .
99206
Requlred Set Backs In Feet
North 'South East 'West
4.
CONTRACTOR
EVERGREEN LAWN SPRINKLER CO.
PHONE
ADDRESS
E. 5301 Broadway
DESIGNER
5' ADDRESS
ZIP
99211
77
Size of Parcel 1 Zone Classification
Type Const.
Occupancy Sprinklered
❑Yes 0No 0 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
❑ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
❑ BLD. PLMB. : MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. LAWN SPRINKLER
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that 1 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 construct��n or the
performance of construction.
DATE SIGNATURE
DEPT.
SPECIALAPPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
iO FF 101
APPRO
Ala
R ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
5.50
5.50
TOTAL $
PERMIT NUMBER
DATE July 24. 1979
03* *550
*550
*5506
A *C160
94,12
07-24--79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07724,.-79