1980, 10-28 Permit: 80B-2804 Plumbing FixturesAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
JOB ADDRESS
S. 1710 Burns Rd. (Job No. 146)
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
R & R Construction (Dick Reeves)
PHONE
928-3610
PARCEL NUMBER/S
ADDRESS
.0. Box 14217, Spokane, Wash.
ZIP
99214
Actual Set Backs in Feet
North 'South East 'West
4.
CONTRACTOR
Miller's Plumbing
PH83-ONE
42025
Size of Parcel 1 Zone Classification
ADD E. 623 Liberty, Spokane, Wash.
ZIP
99207
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation )Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
iX1 NEW ❑ ALT. ❑ AD'N. ❑ RPL. D MVE.
y
0 OTHER
❑ BLD. IXi PLMB. 0 MECH. 0 M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
s. Plumbing installation - New - SFR
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 10-27-80
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
14 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $38.00
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
35.00
3.00
TOTAL $ 38.00
PERM . NUME =R
PI e).6' -iso 1--
03* *3800
*3r.0C ;
*38006
A *0.00
28032
10-28-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
lU'-X84110280.4i *38.00
DATE ISSUED PERMIT NO. TOTAL