1979-12-26 Permit: 79-9452 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
7t --
DATE Z 2 ` Z9 " ZT
0
*2u. 00
9451
12-26-79
s 6.479,
DESCRIBE WORK
8 l0 FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Source
JOB ADDRESS
ELECTRIC
WATER
SEWER
9.
of
Utilities
1vt, e-1-
Single $
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
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
PARCEL NUMBER/S
2.
I
ISUBDIVISION
DATE/ '�7— SIGNATU Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
OW ER
—
Env. Health ) - l x, VV
P NE
Planning
Fire Marshall Mobile Home
Co. Engineer O (SpecifyI tQ
er
MEA41
3.
Utilities o0
TOTAL $
Zone Clearance
\ WHEN MACHINE VALIDATED
ADDRESS
SEPA Checklist THIS_BECOI) S A PERMIT.
_
0ATF 4�,26' nR'FICIAI
ZIP
Required Set Backs in Feet
North South
East West
CONTRACT R
P NE(yj/�(f
Size of Parcel
Zone Classification
O
4'
AD E$S
I
Type Const,
Occupancy
Sprinklered
69 a
vew-
❑Yes ❑No ❑ Req'd.
D SIGNER
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.
+ ANo.
TYPE 1'9 [..'
`��,{fffCk EW
ALT. ❑ ADN.
❑'T
❑ RPL.
❑ MVE,
Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD.
XPLMB. ElMECH:
❑ M. H.
1-1 POO L
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
PERMIT NUMBER
7t --
DATE Z 2 ` Z9 " ZT
0
*2u. 00
9451
12-26-79
s 6.479,
DESCRIBE WORK
8 l0 FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
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 I al I requLating co ction e 00
performance of construction, Plumbing -14
DATE/ '�7— SIGNATU Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT, REQ'D. RECD. /^� Plan Check
—
Env. Health ) - l x, VV
` SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer O (SpecifyI tQ
er
MEA41
Utilities o0
TOTAL $
Zone Clearance
\ WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS_BECOI) S A PERMIT.
_
0ATF 4�,26' nR'FICIAI