1980, 02-25 Permit: 80-1472 Plumbing FixturesR is
PLAN 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
JOB ADDRESS
1
LOT
2.
BLOCK
64/47/? / raL
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER
PHONE
PARCEL NUMBER/S
ADDRESS
ZIP
CONTRACTOR
4' ADORES
5.
6.
//c -r 1 -0
1
6lG6fGiPti R"
r-firsL ,9;1707 —4A
PHONE
ZIP
ninL
PHONE
535"-957i
ADORES
d. Wax/ND9,
CHANGE OF USE FROM
ZIP
"902/4/
Required Set Backs in Feet
North (South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy SPrinklered,
❑Ves 0No 0 Req'd.
Valuation Building Area 1 Sq. Ft.
DWL Area I Basement Area Garage Area Storage
TO
Split Entry
Split Level
Rancher
, TV PE
7. OF
WORK
NEW 0ALT.
❑ BLD. IS.PLMB.
O AD N. 0 RPL. ' 0 MVE.
❑ MECH: 0 M.H. - 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
//
GAS
Source
of
Utilities
ELECTRIC
WATER
SEWER
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance /fofconstruction.
DATE ( / ` 9.trg&
examined this- applica ion and have read the "NOTICE" provisions included
to be true and correc . All provisions of laws and ordinances governing this
whether specified herein or not. The .ranting of a permit does not presume
the provisions of any other state oQ •. law regur ting c istruction or the
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL 4I DITIONS:
DAT E3. 60O F FICIAL 4G r' 1n✓VLIVVirrN
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building �J ,]
Plumbing f'D'S.f/
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 30a
PERMIT NUMBER
cao 11•1•17 -
DATE `1•17 -
DATE
03* *3050
*3050 I
*30.506
E *000 8
147.12 •
02-25-80'
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
147:25 *30.50,°J