1979, 09-25 Permit: 79-4661 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
r'O
DATE g'Zyr-7�
03* *30.50
*30.50
*30.5010
E *000
466,0
09-25-79
-R 6479.
CHANGE OF USE FROM
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS _
� J�(J
Rancher
6.
LEGAL DESCRIPTION —SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
No. Floors
No. Rooms
Rec. Room
7, OF ❑ OTHER
OWR
`
PHONE
CERTIFICATE
3.
Recd.
Not Req'd.
El BLD. ElPLMB. 11MECH: 11M.H. ❑ POOL
WORK
DDRESS
',//p
ZIP
Required Set Backs in Feet
�1 (..L
8
North South
East West
CONTRACTOR
c
GAS
PHONE
SEWER
Size of Parcel
Zone Classification
I Y\
4.
9.
utilitofie
Single $
D RESS
AD?
ZI
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Plumbing
PHONE
Valuation
Building Area in Sq. Ft.
5.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
ADDRESS
Env. Health
ZIP
OWL Area
Basement Area
Garage Area
Storage
PERMIT NUMBER
r'O
DATE g'Zyr-7�
03* *30.50
*30.50
*30.5010
E *000
466,0
09-25-79
-R 6479.
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPENo.
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No. Floors
No. Rooms
Rec. Room
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
El BLD. ElPLMB. 11MECH: 11M.H. ❑ POOL
WORK
of EXEMPTION
BE MR
DESCRI/
FEES COLLECTED
8
VALUATI�p
Sour
GAS
LECTRIC WATER
SEWER
9.
utilitofie
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 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
Plumbing
performance of construction.
DATE SIGNATURE _
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other(Specify)
Utilities
TOTA L $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist
THISCOM A PERMIT.
0 — 2 — 7 °
4, 6 6.12
DATE OFFICIAL
*30.50°
DATE REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
1."