1980, 07-22 Permit: 80-7492 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
JOB ADDRESS
7O2 -O 'us
LEGAL DESCRIPTION - SEE ATTACHED
2.
3.
LOT
BLOCK
SUBDIVISION
OWNER
PHONE
PARCEL NUMBER/S
ADDRESS
ZIP
Actual Set Backs in Feet
North 'South East 'West
CONTRACT R c�
�.K.1 4L/ e2 r_ 02,4-4;1,
4' ADDRE
P�/,� ` h r/i/7,/./
D'EGR J3tR+6[ /
5.
PHONE
Size of Parcel Zone Classification
IP
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRE
2)X
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
Main Floor
Upper Floors
Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
CP4€W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ,LMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
GA
;X72urrs
�� WATER
ELECTRIC
Enum. Dist.
'Location (Area)
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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 r:.ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION
747, /teD
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
•
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building ?�/��
Plumbing _<��"e
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ([3:150
PERMIT NUMBER
se)—a'A94
* *38.00
*3800 tip
*38006
E *000
749.12
07-22-80
2 679.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b.4,2 g,a
749.22 *38.002 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL