1980, 02-07 Permit: 80-941 Plumbing FixturesLAN NUMBER
APPLICATION/ PERMIT
r
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
LEGAL DESCRIPTION— SEE ATTACHED
LOT I BLOCK IbUBDIVIS107 PARCEL NUMBER/S
2.
DESCRIBE WORK
8. 17
VALUATION
GAS I ELECT
SEWER
FEES COLLECTED
9. 1 Utilities
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
performance of construction.
Plumbing
DATE �z��i`�y SIGNATURES F Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SPECIAL CONDITIONS:
SEPA Checklist %?
DATE a—:2 COFFICIAL �
Aoonnvrn rnn ,ccuAmnr
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $.;I �
PERMIT NUMBER
P
DATE ;?
?3 5%
x 25)(; r
L 0
940
9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1, 1
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W
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O ER
PHONE
3.
ADDRESS
ZIP
Required Set Backs in Feet
ILD
?, �C!/
North South
East West
RACTOR
PHONE
Size of..Parcel
Zone Classification
4.
b2 _.zbck
AD RESS
ZIP
Type Const.
Occupancy
Sprinklered
[]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.
,_,,R�/
TYPE NEW 1:1 ALT.
C
❑ AD'N. 1:1 RPL.
El MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF�!
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
❑ El M.
BLD. -VE MECH: M.H. POOL
WORK 1:1D
of EXEMPTION
DESCRIBE WORK
8. 17
VALUATION
GAS I ELECT
SEWER
FEES COLLECTED
9. 1 Utilities
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
performance of construction.
Plumbing
DATE �z��i`�y SIGNATURES F Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SPECIAL CONDITIONS:
SEPA Checklist %?
DATE a—:2 COFFICIAL �
Aoonnvrn rnn ,ccuAmnr
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $.;I �
PERMIT NUMBER
P
DATE ;?
?3 5%
x 25)(; r
L 0
940
9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1, 1
c
I—
C:
W
a
v:
Z