Loading...
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 O F-) U w 0 07