1979, 08-07 Permit: 79-1676 Plumbing FixturesrPLAN 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. 1120
LOT
2
BLOCK
1
SUBDIVISION
3
OWNER
Snnnpys 1st Add -
NORTHWEST CONSTRUCTION
ADDRESS
N. 708 Argonne
4.
CONTRACTOR
MARTINS PI UMBING
ADDRESS
E. 14313 Trent
DESIGNER
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
O BLD.
0 ALT.
51 PLMB.
PHONE
922-1705
ZIP
99206
ZIP
99216
PHONE
ZIP
TO
O AD N.
O MECH:
❑ RPL.
O M.H.
❑ MVE.
O POOL
DESCRIBE WORK
g, PLUMBING 10 Fixtures
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North South
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
Split Entry
No. Baths
Sprinklered
Eves ❑No D Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Rancher
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:
DATE4 ( ' OFFICI
APPR
OR ISSUANCE
Rec. Room
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
28.00
$ 28.00
P
PERMIT NUMBER
167
DATE August 6, 1979
03* *2800
* 2800
* 28006
A *0.00 n
1 67.5
08-07-79
2 64 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-07-79
167.62
*28.00°�