1979, 08-13 Permit: 79-2032 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
�,. 142 URNs
t.
LEGAL DESCRIPTION — SEE ATTACHED
LOT 1 BLOCK SUBDIVISION
PARCEL NUMBER/S
OWNER —
3. i 4- E LONST►aC:TiON
ADDRESS
'• I aha 5
CONTRACTOR
PHaONE
gt -670a
zircatto
Required Set Backs in Feet
North 'South East (West
4. "T. 5. a • c N TeRPRtse
ADDRESS
DESIGNER
PHONE
gas --901
Size of Parcel
7nne Rlaccification
ZIP
9q o(c
PHONE
Type Const.
Occupancy Sprinkle ed
❑Yes ❑No ❑ Req'd.
Valuation 1Building Area in Sq. Ft.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
NEW ❑ ALT.
X PLMB.
❑ BLD.
ZIP
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WORK
FIICTVL[ES
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:
OFFIC1
APPRISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
4074,3;iz
ther (Specify)
TOTAL $ aQ< try
PERMIT NUMBER
67x'/19
03* *2800
*2800
*28.006
A *0.00 0
20312
08-13-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS I1I
BCOES A PERMIT.
0BECOMES 2 0 3 2 5
*28,0.021-