1979, 08-07 Permit: 79-1678 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
BURNS ROAD, S. 1109
LOT
2. 3
BLOCK
2
SUBDIVISION
Snoopys 1st Add
3.
OWNER
NORTHWEST CONSTRUCTION
ADDRESS
N. 708 Argonne
CONTRACTOR
MARTINS PLUMBING
4. ADDRESS
E. 14313 Trent
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
0 ALT.
ER PLMB.
PHONE
922-1705
ZIP
99206
PHONE
924-9057
ZIP
99216
PHONE
ZIP
TO
❑ AD'N.
❑ MECH:
O RPL.
O M.H.
❑ MVE.
O POOL
❑ OTHER
DESCRIBE WORK
8. PLUMBING
10 Fixtures
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North
South East
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
West
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:
DATE 3 (1/790 F F 1 C 1A
FEES COLLECTED
Single $
Building
Plumbing 28.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 28.00
DATE
P
PERMIT NUMBER
August 6, 1979
03* *28.00
*2800
*28006
A *0.00 S
167.72
08-07-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-07-79
1.67,88
*28.00
O J
n F —