1979, 07-20 Permit: 79-819 Plumbing Fixtures(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 ADDRES
LOT
BLO K
3
OW
SUBDIVISION
e vQ t S p'ti! AlS1--
ADDRESS
CONTRACTO /
ADDRESS
11607 e 7lrP f
DESIGNER
5' ADDRESS
PHONE
ZIP
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
IX NEW
0 BLD.
PHONE
g9'20�
PHONE
ZIP
TO
❑ ALT. 0 AD'N.
XPLMB. 0 MECH:
0 RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
8 DESpRJBrEORK
Pl/IC' Cl
VALUAT
9.
�,�-ri�,
e 5 ce
Source
of
Utilities
GAS
ELECTRIC
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
Size of Parcel
Type Const.
'East West
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation
DWL Area
Split Entry
No. Baths
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms
SEWER
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 ordinance •. ing this
type of work will be complied with whether specified herein or not. The granting of�,.' It does not pre me
to give authority to violate or cancel the provisions of any other state or local law
performance of con truction.
DATE
/7
SIGNATU
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
Rec. Room
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing 37/CP
Mech.
Plan Check
SEPA
Mobile Home
Ot er (Speci y) ?'L/C9
Mi
TOTAL $ 1'0,50
DATE
03* *4Q50
*4Q50 to -
*4Q506
*Q00 8
A
81.8i
07-20-79
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-20-79
81.95 *4Q502H