1979, 08-20 Permit: 79-2522 Lawn SprinklersPLAN 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. Ns 2023
LOT
2.
BLOCK
Laura Rd, Spokane, WA 99206
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
OWNER
Harold H. Williams
ADDRESS
same
PHONE
924-5475
ZIP
99206
Required Set Backs in Feet
North 'South (East 'West
CONTRACTOR '
4 Evergreen Lawn Sprinkler CO
ADDRESS •
E. 5301 Broadway, Spokane, WA
PHONE
535-4777
Size of Parcel 1 Zone Classification
ZIP
99211
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area f Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW 0 ALT.
❑ BLD. PLMB.
❑ AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. lawn sprinklers
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion 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:
DAT EU724)j —74 OF
PPP AP
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
5.50
TOTAL $ 5.50
PERMIT NUMBER
DATE
03* •*S50
*S50
*5508
E '*Q00 8
2521 fi-
08-20-79
B. 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08ie2Pla47:9 25 2.2 *5,5Oa1-2
0' 1 FOR ISSUANCE _