1980, 03-24 Permit: 80-2577 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
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
5 BDIVI IO
3
OWNER
PHONE
PARCEL NUMBER/S
ADDRESS
ZIP
Required Set Backs in Feet
North 'South
East
'West
CONTRACTOR, (26
4' AD 6 70 6 0 /10 75
Okeren eR
5. • �.
ADDRea.fVl
6.
egox
CHANGE OF USE FROM
•
Co i
14109#
TO
PHONE -
�a2--/of
Size of Parcel
Zone Classification
Z 6.
Type Const.
Occupancy
Spnnklered
❑Yes CNo 0 Req'd.
PHONE
636 9g24
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area 1 Garage Area
Storage
Split Entry
Split Level
Rancher
7.
TYPE
OF
WORK
NEW 0 ALT.
0 BLD. C`�PLMB.
O AD N.
O MECH
❑ RPL.
O M.H.
0 MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE -
of EXEMPTION
- Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
/o rrKlttt tt S
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER.
SEWER
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance o constr ction.
DATE 3 i /80
DEPT.
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The grantinof a permit does not presume
the provisions of any other state or Ion] I regulating con$''uction or the'
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA C eck uR YES LJ
1!VrvIC OWNER'S WARRANTY NO ❑
SPECIAL C•TDITIONS:
DATDATE322.12aFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building �%�
Plumbing e'er,
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
FpPERMIT NUMBER
-`30-2611
DATE
03* *4300
*4300 16
*4300,5
E *0.00
257.62
03-24=80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
013 IF, 12'4?'=8`,b,
2 5.7;7 z *43,0'0, a,�.