1979, 07-10 Permit: 79-284 Plumbing FixturesliAN NUMBER
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APPLICATIOR/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1.
LOT
2. 2
HEROY, E. 16719
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
2
OWNER
3.
SUBDIVISION
Sunnyvale acres
GENIE HOMES, INC.
PHONE
928-6090
PARCEL NUMBER/S
ADDRESS
BOX 14410, Opp
ZI P
99214
Required Set Backs in Feet
North 'South
East
'West
4.
CONTRACTOR
MUELLER PLUMBING
ADDRESS S. 3005 Best, Veradale
PHONE
924-2606
Size of Parcel - 1 Zone Classification
ZIP 9037
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation 1 Building Area in Sq. Ft.
ADDRESS ,
ZIP
OWL Area I Basement Area ( Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
D NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
❑ BLD.-q(PLMB. D MECH: D M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
OESCRIBE WORK
8. Plumbing 14 Fixtures
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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
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
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REO'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE •
FEES COLLECTED -
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
38.00
TOTAL $ 38.00
DATE
PERMIT NUMBER
July 9, 1979
03* *3300
*3300 v
283fi
07-10-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 9 28.42
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