1979, 09-10 Permit: 79-3646 Plumbing FixturesALAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM
TO
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Rancher
JOB ADDRE
`,
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCLSIOBD
2-
IV ON
No. Rooms
I
PARCEL NUMBER/S
2.
��fcoli/OW
Req'd.
Recd.
Not Req'd
1-1BLD. 1XPLMB. 11MECH: 1-1M.H. ElPOOL
WORK
of EXEMPTION
PHONE
3.
DESCRIBE WORK
8
FEES COLLECTED
VALUATION
Source
GAS
ADDRESS
WATER
SEWER
ZIP
Required Set Backs in Feet
Single $
North South
East West
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
CO R CTOR
type of work will be complied with whether specified herein or not. The granting of a permit does not presume-
41
7�
give authority to violate or cancel the provisions of any other state or local law regulating construction or the
P Or E
Size of Parcel
Zone Classification
DATE SIGNATURE f,
DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
4'
ADDBg S
SEPA
Planning
ZIP
�J)tly
Type Const.
Occupancy
Sprinklered
Other (Specify)
Utilities
Y¢Zd
-]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
s.
TYPE [q(NEW ❑ALT. 11AD'N. El RPL. ❑ MVE.
No. Baths
No. Floors
F
No. Rooms
I
Rec. Room
7, OF El OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
1-1BLD. 1XPLMB. 11MECH: 1-1M.H. ElPOOL
WORK
of EXEMPTION
DESCRIBE WORK
8
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
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-
41
7�
give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construct
Plumbing
DATE SIGNATURE f,
DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
PERMIT NUMBER
—3%` 4,
DATE T —62 —7q
03* *25,50
*25.50
*25,50
E *0.00 00
364,5-9
09-10-79
;2 6479.
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist J(n THIS B COMEnS A PERMIT. ` ('
DATE? 1 -79OFFICIA1fi/liDdZU 7 ) 4. U * �'S U F