1979, 09-27 Permit: 79-4860 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
1. //307 ` c
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
SUBDIVIS
CON ALTO
4'
AD -F. AD. 63—
03
DESIGNER
b.
ADDRESS+
PHONE
ZIP
PHONE
9z f -a3
P72,
PHONE
PHONE
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East 'West
Size of Parcel • Zone Classification - -
Type Const. Occupancy Sprinklered
❑Ves 0No 0 Req'tl.
Valuation Building Area in Sq. Ft.
DWL Area Basement Area Garage Area Storage
CHANGE DE USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE
WORK
❑ NEW 0 ALT. 0 AD N. , 0 RPL. 0 MVE.
0 BLD. 0 PLMB. 0 MECH: 0 M.H. - 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
• CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not.Req'd.
DESCRIBE WORK
8.
VALUATION
9.
9 eGAS
Source
of
Utilities
ELECTRIC
WATER
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 law regulating construction or the -
performance of construction.
DATE 7%7/7/ SIGNATURE�'iC�I ICt t /C
DEPT.
SPECIAL APPROVALS
RED'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE % �7 79OFFICIA��„1 ____
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
ZZ -=e
Other(Specif I X73 °
TOTAL $ / S -5'31
DATE
PERMIT NUMBER
7 9- //Ito
03* *2550
*2550
*25506
E'
*000,8
48592
09-2447-79
R 6472
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 9'4.12 71-'.7.9 4.8 6.0 5
*12 5,5'0,2.
Cr
U
w
0
z