1980, 07-25 Permit: 80-7707 Water TankNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
Y� NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S
'300
CHANGE OF USE FROM ITO
6.
6
Ea•t
ZIP
"�, 11;1�oG
PHONE
+saL—
HONNEQ.L— qo�
ZIP
4 1. rel ►L
ZIP
TYPE ❑ NEW ❑ ALT. ❑ AD'N. K RPL. ❑ MVE.
% OF OTHER
WORK ❑ BLD. ❑ PLMB. X MECH: ❑ M.H. ❑ POOL
DESCRIBE WORK
8.
Required Set Backs in reet
JOB ADORES'
North South
I
Size of Parcel
LOT
BLO(
2.
Type Const.
Occupancy
Sprinklered
OWNER
3.
ADDRESS
Valuation
Building Area in Sq. Ft.
CONTRACTO
4.
DWL Area
..i
Garage Area
ADDRESS
DESIGNER
5.
Split Entry
Split Level
Rancher
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S
'300
CHANGE OF USE FROM ITO
6.
6
Ea•t
ZIP
"�, 11;1�oG
PHONE
+saL—
HONNEQ.L— qo�
ZIP
4 1. rel ►L
ZIP
TYPE ❑ NEW ❑ ALT. ❑ AD'N. K RPL. ❑ MVE.
% OF OTHER
WORK ❑ BLD. ❑ PLMB. X MECH: ❑ M.H. ❑ POOL
DESCRIBE WORK
8.
Required Set Backs in reet
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
I
Dyes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
of EXEMPTION
FEES COLLECTED
�f PERMIT NUMBER
DATE
04* *9,00
*9.00
*9.00
E *000 00
770,62
0T-25-80
2 6.479,
VALUATION Source GAS ELECT IC WATER SEWER
Of
Q, 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 r ulating construction or the
performanc f cons ction. , Plumbing
/� C
DATE ® SIGNATURE_ Mech. '��
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. n lC- Plan Check
Env. Health �_,+'`/ `������
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities 0O
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS B�COME�S,APERMIT.
9 V& Z, f 4'"a- U L / U
0
APPROVED F ANCE