1980, 07-29 Permit: P80-7832 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 3 COPIES
1.
2.
3.
JOB ADDRESS
/ / 3 42 / V oehti
LOT SUBDIVISION
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
/44 SC.c3 /Butt-017/mss
PHONE
PARCEL NUMBER/S
ADDRESS
ZI P
4.
CONTRACTOR
C►ec-o 5{ALitrALoge..vl roc -
ADDRE
1 .203 o•tifs`t-
PHONE
J'aid/
Actual Set Backs in Feet
North 'South [East (West
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
Des ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 1vEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
WORK ❑ BLD. ®-P'CMB. ElMECH. ElM.H. ElPOOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
F/14.7t-rt
Enum. Dist.
ILocation (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private 0
USE CODE
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPI.ICATION SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
�211 nicia�r
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing a
r46-
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
03* *2800
*2800 N
*28.006
E *000
78312
07-29-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 7'==2;g'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
78 2z
PERMIT NO.
*2800" -.r -
TOTAL