1980, 12-16 Permit: 80B-49 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUfLDINO CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JODRESS �'
ESS Ca �'/�>� C' LEGAL DESCRIPTION — SEE ATTACHED
1. LOfT ULUCK ISUBDIVISIONPARCEL NUMBER/S
2.
OWNER PHONE
3 F,016 �'tanes7tzQCT tO^., Ot7Z -Z-q+9
TYPEI.� NEW 1-1 ALT. 1-1 AWN. El RPL. ElMVE.
7, OF / ❑ OTHER
WORK IX BLD. KPLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK /i Enum. Dist. Location (Area) FEES COLLECTED
8. !JY
VALUATION SOURCEGAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES 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 INSPECTIONS Plumbing
/ 9,C^- 1411ggtt�N 1>�
DATE OF APPLICATION II Z_�/ �G SIGNATURE OF APPLICANT j, y.{ £3"—�' Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ng Tecrimcian
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ re 6f6
PERMIT NUMBER p �j, bo- 43 1,
03* *4800
*48OOY
A * 0. !,
491.3 0
12-16-80
6,479
a
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9149D,121-16 -8'0 49149 -
DATE
ATE ISSUED PFRMIT NO
*4&00IOL
� -
TnTA1.
c
C
C
7
ZIP
Actual Set Backs in Feet
fA±DDRESS
G . i0 —
North South East West
CONTRA R
PHONE
Size of Parcel
Zone Classification
e)
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIG
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDR��
ZI
Main Floor
I Upper Floors
Garage Area
Storage
9O
IT Z:
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPEI.� NEW 1-1 ALT. 1-1 AWN. El RPL. ElMVE.
7, OF / ❑ OTHER
WORK IX BLD. KPLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK /i Enum. Dist. Location (Area) FEES COLLECTED
8. !JY
VALUATION SOURCEGAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES 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 INSPECTIONS Plumbing
/ 9,C^- 1411ggtt�N 1>�
DATE OF APPLICATION II Z_�/ �G SIGNATURE OF APPLICANT j, y.{ £3"—�' Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ng Tecrimcian
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ re 6f6
PERMIT NUMBER p �j, bo- 43 1,
03* *4800
*48OOY
A * 0. !,
491.3 0
12-16-80
6,479
a
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9149D,121-16 -8'0 49149 -
DATE
ATE ISSUED PFRMIT NO
*4&00IOL
� -
TnTA1.
c
C
C
7