1979, 09-24 Permit: 79-4533 Sprinkler SystemPLAN 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. �LSouth ' 1. Gl---- LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK 19CFE
2.
OWNER
3 Gary Lindeblab
ADDRESS
CONTRACTOR
Rain -Matic Sprinkler
4' ADDRESS
N. 527 Barker
DESIGNER
�. ADDRESS
CHANGE OF USE FROM T
6.
WA
PHONE
928-85
ZIP
PHONE
926-95
ZIP
99016
PHONE
ZIP
I YPL ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 11 OTHER
WORK ElBLD. ❑ PLMB. 1-1MECH: ElM.H. ❑ POOL
DESCRIBE WORK
8. Sprintler System
Required set Backs in Feet
North (South
Size of Parcel
Type Const. Occupancy
Valuation
DWL Area Basement Ar
Split Entry Sr
No. Baths No. Floors
CERTIFICATE
of EXEMPTION
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area Storage
.evel Rancher
No. Rooms Rec. Room
Req'd. I Recd. INot Re(
FEES COLLECTED
VALUAI IUN Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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 5.50
performance of construction.
Plumbing
DATE SIGNATURE— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATEIA' ^ OFFICI
TOTAL $ 5-�
PERMIT NUMBER—�
o - S 3�
DATE 9-21-79
*a50
*5.50
E *0.00
453.22
09-24-79
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS 51COMES A PERMIT.
*5.5iao�