1979, 09-24 Permit: 79-4523 Sprinkler SystemPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES -
P
PERMIT NUMBER
9-21-79
1.
2.
3.
JOB ADDRESS
12803 E. Main
LOT I BLOCK
OWNER
Zane Williams
ADDRESS
_ LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
PHONE
ZIP
Required Set Backs In Feet
North (South (East 'West
CONTRACTOR
4 Rain -Matic Sprinkler
PHONE
926-9508
Size of Parcel 1 Zone Classification
' ADDRESS
N. 527 Barker . Greenacres, WA
Woi6
-- Type Const.
'Occupancy
Sprinklered-
OYes ONO 0 Req'd.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Spilt Level
Rancher
O NEW 0 ALT. 0 AD N. O RPL. O MVE.
0 BLD. O PLMB. 0 MECH: O M.H. 0 POOL
0 OTHER
No. Baths
NO. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd. •
Recd.
Not Req'd.
DESCRIBE WORK
8. Sprinkler System
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 correc . 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
REQ'D. RECD.
Env. Health
r.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
APPRFOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
5.50
TOTAL $ 5.50
03* *550
*550 Lz
*5506
E *000
45228
09-24-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS CO S A PERMIT.
U91-,,'•4tit9 4.52,3 ,5 5:542 Pi