1979, 12-07 Permit: 79-8797 Plumbing FixturesPLAN 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
JOBB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT O K IbUBDIVIbION 11111 PARCEL NUMBER/S
►L P -?iPERMIT NUMBER'T_r - -79-71
DATE .e
03* *3300
*33.00
*3300
E*0,00
879,6-9
12-07-79
6.4.79,
8 J -;? l
OWNER
VALUATION
P ONE
C ZT
GAS
ELECTRIC
3.
�'� �i�
-
of
Utilities
ADDRESS
Single $
ZIP
Required Set Backs in Feet
I hereby certify that I have read and examined this application and have read the "NOTICE"uded
7 /
t3 01,-,V
Building
type of work will be complied with whether specified herein or not. The granting of a permumeto
6�1�
4 ,
of construction.Plumbing
North South
East West
1DATE SIGNATOR"Mech.
CONTR
SPECIAL APPROVALS
P_FJONE
Size of Parcel
Zone Classification
DEPT. REQ'D. RECD.
Plan Check
r3 <
SEPA
4'
Planning
Fire Marshall
Mobile Home
ADDRESS
flo
ZIP
Type Const.
Occupancy
Sprinklered
1 6 f/� 7 Z
TOTAL $
�,
I
I ❑Yes ❑No ❑ Req'd.
DESIGNER
WHEN MACHINE VALIDATED IN THIS SPACE,
PHONE
Valuation
Building Area in Sq. Ft.
5.
ewe (4
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE NEW ❑ALT.
El AD'N. 1:1 RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
%,
OF
OTHER
11 BLD. I'PLMB.
❑ MECH: 1:1M.H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
WORK
of EXEMPTION
I
DESCRIBE WORK
.17
►L P -?iPERMIT NUMBER'T_r - -79-71
DATE .e
03* *3300
*33.00
*3300
E*0,00
879,6-9
12-07-79
6.4.79,
8 J -;? l
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATERjgoverning
9.
of
Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE"uded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinthis
Building
type of work will be complied with whether specified herein or not. The granting of a permumeto
give authority to violate or cancel the provisions of any other state or local law regulatingr theperformance
of construction.Plumbing
1DATE SIGNATOR"Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
flo
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THISBECOMES A PERMIT.
1
cz�~r
DATE /2 -75 OFFICIAL ccs -risme]
ewe (4