1979, 08-20 Permit: 79-2444 Plumbing FixturesPLAN NUMBER
APPLICATiSi/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
/
LOT I BLOCK SUBDIVIS •N
LEGAL DESCRIPTION — SEE ATTACHED
3
° 2,0 off' i
PHONE
PARCEL. NUMBER/S
AD , RE jSD/I J diiti ' 42,1-444,(1
i X
C RACTOR
4.i
�N
4/
�r l�r�Lta007—/
ADDRESS
C.,3/2 �G 1d
ZIP
Required Set Backs In Feet
North 'South East 'West
PHONE
4,?* -0 (841
ZIP
7
Size of Parcel Zone Classification
Type Const.
Occupancy Sprinklered
❑Yes DNo 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area m Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
NO. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESCRIBE t)ORK
$ VALUATION
9.
Source GAS ELECTRI
of
Utilities
WATER
SEWER
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correc . 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. �J
DATE f 2 ' 79 - SIGNATURE J /i� L .-fn-ri•
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co: Engineer
Utl l It les
Zone Clearance
SEPA Checklist
SPECIAL CONDITIOpI$'�•L�/$��
DATEIF7(O F FI CI AL kett.laZ
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
P
PERMIT NUMBER
79-2*6[4
DATE
0.3* *1300
* 1300
* 13006
*000 8.
2.40.32
08-20-79
6479.
6'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08.;210°a'79 24442
K
0
a
co