1980, 12-04 Permit: 80B-4481 Plumbing FixturesN 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 3 COPIES
JOB ADDRES
�.o� t' Sb E: U-) CS LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
z.
y PHONE
3. - •\V _S35-6103
A414aRESS .
ZIP
Actual Set Backs in Feet
✓ ASL �/i(-A ��� '� �I
t o I-1"
North South
East West
CO TRACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDRiE�S1S
ZIP
Type Const.
Occupancy
Sprinklered
`'t�-�. �L �O 1.�
U-7
Oyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. l� PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DES IBE ORK�
Enum. Dist. Location (Area)
FEES COLLECTED
8
i�42 �S
VALUATION 5 URC
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9. UTILITIES
Public ❑ Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATIIRF OF APPI ICANT L-17% 1 L•
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
PE
-R'M-1T NUM�BE_RR
* *2000
*20,00 to -
2 0. 0 0 61 20,0061
A *0,00 00
448,0-
12-04-80
z 6.479,
Mobile Home
Other (Specify)
�fJJ, C (
TOTA L $ Z,000
0OO
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
14- 4-8b' 44 &1 Z
DATE ISSUED PERMIT NO.