1979, 07-23 Permit: 79-874 Gas Pipingrt
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 ADDRESS
LOT
BLOCK
0/6) r .-Buct�.t y�
SUBDISION
3.
4.
6.
OWNER roN _ j —BA YWh
ADDRESS 6•414t
CONT RP 719 !1 H A-rou&
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North [South
East (West
ADDRESI):6 h . ` . /1 i, _1 t` / Mt
DESIGNr i rQVVit L15/ & ij 1RUC'T!
ADDREf! ^ jt y '. F (IV8 Rti
CHANGE OF USE FROM
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
AL ALT.
❑ PLMB.
TIE
8
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
DESCRIBE WORK
VALUATION
9.
MwP '1 v -
Source
of
Utilities
GA
ELECTRIC
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms
Req'd.
Rec. Room
Rec'd.
Not Req'd.
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 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
10' r" 6/45 --Pi PE
DAT7� OFFICIAL �•
APPROVED FISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
cora'
PERMIT NUMBER
79 — 8 74—
DATE / f (/..D 79
03* *600
*600
*6.006
A *000
87.32
07-23-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS013,COI)(IE$ ArJ3MIT. 0 7' n z
*6,00aF-