1979, 07-31 Permit: 79-1357 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
S r / ,C
LOT
BLOCK
SUBDIVISION
E >vs 71-
dev•DF)72("6.‘_.
/ L/
CONTRACTOR
4. . F tit /Le-4-fy [ )PS C
ADDRESS
1040 7 i %eAz
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
9.
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North (South (East 'West
PHONE
9'S"—t,¢Z
PHONE
ZIP
TO
X, NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. X PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
p`�Llt/1 L/i AL I
VALUATION
Sou+
of
Utilities
GAS
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
CERTIFICATE
of EXEMPTION
ELECTRIC
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
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)aw regylating contiohe
performance f construction.
DATE ` 4..c,12 SIGNATURE,CJyr�'
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
0
DAT E7 -3)n9 OFFICIAL-
APPROVED FOR ISSUANCE
Storage
Rancher
FEES COLLECTED
Single $
Building �J2 (/y
Plumbing 2 -lc
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)13`�a
/ (i 4
TOTAL $.2S• Cb
PERMIT NUMBER
79- /357
DATE 7
/V7 q
03* *2550
*2550
*25508
B *0,00
13568
07-31-79
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-H-79 135.7 *2 5.50 a
CC
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F-)
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0
07