1979, 07-27 Permit: 79-1201 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
1. CONKLIN, S. 1906
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2. 6
OWNER
3.
BLOCK
2
SUBDIVISION
Ridgemont #2
RONDELS, INC.
PHONE
926-9078
PARCEL NUMBER/S
ADDRESS
E. 11720 Glenview
ZI P
Required Set Backs in Feet
North (South (East 'West
4.
CONTRACTOR
HARTY PLUMBING
PHONE
489-351
Size of Parcel 1 Zone Classification
ADDRESS
E. 1422 Houston
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
DWL Area
Basement Area ( Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
Cy� PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
E OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
PLUMBING 12 Fixtures
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 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:
DATE OFFICIAL
APPROVED FOR ISSUANCE _
FEES COLLECTED
Single $
Building
Plumbing 33.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 33.00
PERMIT NUMBER
DATE July 27, 1979
03* *3300
* 33.00 N
* 33.00
A *0.00
120.02
07-27-79
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISJ3ECOMES APE MIT.
U7-27-79 120.12 *33.000