1980, 05-23 Permit: 80-4975 Plumbing FixturesYLHIV IVUMtStR APPLICATIPM/PERMIT PERMIT NUMBER
SPOKANE COUNTY-- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
B DDRESS LEGAL DESCRIPTION — SEE ATTACHED
LOT I ffE7SUBDIVISI9r4PARCEL NUMBER/S
2.
PHONE
3.
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CON ACTOR PHONE Size of Parcel Zone Classification
4' RESS ZI Type Const. Occupancy Sprinklered
P Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
�-, � No. Baths No. Stories No. Rooms No. of Dwellings
TYPE llF-fPEW ❑ALT. El AD'N. 1:1 RPL. 1-1 MVE.
7, OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK 11 BLD. LMB. ElMECH. ❑ M. H. El POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK • Enum. Dist. Location (Area)
FEES COLLECTED
8
VALUATION SOURCE ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑ Private ❑
Single $
1 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 Building
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 INSPECTIONSj/� Plumbing
n ATF nr ADDI Ir ATlnnl __3/ACJ CI!_AI ATI1 11C ADDI Ir A IIT /AY//A/!�/ �IJL//� Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
�� e
/' I
iv. Health
anning
re Marshall
�. Engineer
tilities
ans Examiner
Idi g T hnici %�� PERMIT IS NONTRANSFERABLE
4k ��4 "�" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) -
TOTAL $ oZcS�r
03* *2550
*2550
*25.50
E *000
497.4
05-23-80
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 '5 23,-S -0 4 9 Z 5 z
DATE ISSUED PERMIT NO.
If
*25,50°
TOTAL
0
C
C
i
i