1979, 08-31 Permit: 79-3232 Plumbing Fixtures]PLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
101 PERMIT NUMBER
27
DATE 9-31-79
04* *33,00
*3300 N
*3300
E *0.00 00
32312
08-31-79
;? 6479,
f
8. DESCRIB WORK ' `
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
I t �
� +
LEGAL DESCRIPTION —SEE ATTACHED
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
4(
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
f de9
✓
LOT
I BLOCK
ISUBDIVISION
PARCEL NUMBER/S s r
2.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. /��1 tU�', y7,
Plan Check
k,;) 7- ��C �iiCCi
O NERPHONE
SEPA
Planning
' `
Mobile Home
Co. Engineer
Other (Specify)
Utilities
DDRESS
Zone Clearance
ZIP
Required Set Backs m Feet
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
a� %(
GC AGI
DATE OFFICIAL
--7 q
North South
East West
CONTRACTOR
I
PHONE
Size of Parcel
Zone Classification
4.��`
.
A1;DRESS
ZIP
Type ConsT71
Occupancy
Sprinklered
❑Yes []No❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDREpS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE 1-1 NEW
El ALT. ElAD'N.
1-1 RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
ElBLD.
1:1PLMB. 4 MECH:
❑ OTHER
1:1M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
101 PERMIT NUMBER
27
DATE 9-31-79
04* *33,00
*3300 N
*3300
E *0.00 00
32312
08-31-79
;? 6479,
f
8. DESCRIB WORK ' `
FEES COLLECTED
VALUATPON Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
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;
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
4(
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
f de9
✓
performance of construction.
Plumbing S
g—,3/— ��
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. /��1 tU�', y7,
Plan Check
Env. Health
/ 2 Ve4
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
�v
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
a� %(
THIS BECOMES A PERMIT.
0 r] J. L ) z ( }
J ( l �Z * / �� U U i-�
DATE OFFICIAL