1979, 07-06 Permit: 79-119 Piping1
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
1. JPADI]gF(�� ! <-6,0_ deli
LOOT BLOCK,/(SUBDIVISION
2.
3.
4.
LEGAL DESCRIPTION - SEE ATTACHED
RI • R 1 ' ep-ifiL 4- � %I
MEt3 / � ( /l0 � //lx'
5' ADDRESS
PHONE
ZI P
PHONE
PARCEL NUMBER/S
07,51-/a. -4/9 ,s0�
Required Set Backs in Feet
North 'South LEast IWest
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
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
❑ BLD.
O ALT.
O PLMB.
tAD N.
0 MECH:
O RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
9.
cRieEtwORK
VALUATION
Source
of
Utilities
ELECTRIC d 1 f/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 s at: or local law regulating cotruFtion or the
performance of construction.
DATE S SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ._J_
PERMIT NUMBER
79—// 9
DATE
04* *600
*600 N
*61006
B *Q00
1 1.8fi
07-06-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-06-79
1195 *6.00a-12