1979, 09-25 Permit: 79-4695 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
PERMIT NUMB J-
T ��
DATE - ` 1 % 7 `
0
* 5 5 Q r
*5.506
E *0.0r
469.49
09-25-79
g 6.479.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
JOB ADDRESS
3
LEGAL DESCRIPTION —SEE ATTACHED
1
_
Req'd.
I Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL
LOT
BLOCK
of EXEMPTION
il
PARCEL NUMBER/S
2.
DES IBE WORK,r +� FEES COLLECTED
,)
I
ISUBDIVISION
VALUATION Source GAS ELECTRIC WATER SEWER
OWNER
/
PHONE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
3.
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
ADDRESS„�
%
performance/of construction.
ZIP
�tt ��
Required Set Backs in Feet
DATE I SIGNATURE2& ��-�� !` vL�--ti-�
7 i ✓ ' r!%!!
Mech.
�t Ca
North South
East West
CONTRACTOR
Plan Check
PHONE
Size of Parcel
Zone Classification
SEPA
�
c
Planning
C
L
Fire Marshall
4.
C
c
Co. Engineer
Other (Specify)
Utilities
_
ADDRESS
Zone Clearance
ZIP
Type Const.
I Occupancy
Sprinklered
'7 L” /� �' !� �� tc �_
n �...
r. ?_ i�
❑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
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
PERMIT NUMB J-
T ��
DATE - ` 1 % 7 `
0
* 5 5 Q r
*5.506
E *0.0r
469.49
09-25-79
g 6.479.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL
of EXEMPTION
DES IBE WORK,r +� FEES COLLECTED
,)
��I CCCB-� ��TLCgtc.a
VALUATION Source GAS ELECTRIC WATER SEWER
9. Utiliofties
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
5—L;
performance/of construction.
Plumbing
DATE I SIGNATURE2& ��-�� !` vL�--ti-�
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
�
c
Planning
C
L
Fire Marshall
Mobile Home
C
c
Co. Engineer
Other (Specify)
Utilities
_
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist �-- THIS BECOMES A PERMIT.
(i9—?5-74
n �...