HomeMy WebLinkAbout1980, 09-26 Pemrit: 80B-958 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
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SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
& Q
LO B OCK SUBDIV1510N PARCEL NUMBER/S
2.
* 30,50C
OWNER PHONE
A
3.
ADDRESS ZIP Actual Set Backs in Feet
9 J 7 yr.
North South East West
CONTRACT PHONE Size of Parcel Zone Classification
09-26-(90
a -WS7
4'
6, (� 7 n
ADDRESS ZI Type Const. FOccupancy Sprinklered
119 j( /��� [-]Yes ❑No ❑ Req'd.
��
DEES+&r1TR- PHOJVE Valuation Building Area in Sq. Ft.
S 3,S
5.
ADORPS ZIP Main Floor Upper Floors Garage Area Storage
-
«��
r S D r Q /Y
CHANGE OF USE FROMTO Area of Decks Finished Basement Unfin. Basement
s.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
�EW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. ❑OTHER
❑ BLD. XPLMB. ❑ MECH. ElM.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION I
DESCRIBE WORK /] Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 13Private C1
I 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 p rmit does not presume
to give authority to violate or cancel the provisions of any other state or local law r u Ing co uction or the ~'
-2
performance of construction. SEE REVER E SIDE FOR REQUIRED INSPECTION Plumbing13
DATE OF APPLICATION91AZSIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
ns Examiner
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ;3a
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ElZyd,,,h Te niciaPERMIT IS NONTRANSFERABLE ��
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