1979, 12-18 Permit: 79-9251 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY —BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
Fil
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DATE
03* *28.00
*28.00
*2B00
E *0.00
925.0
12-18-79
;? 6479,
VALUATIONrce
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
R
JOB ADDRESS
C /�
LEGAL DESCRIPTION — SEE ATTACHED
9.
LOT BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
Single $
OWNER l
PHONE
3.
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
l"` .
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ADDRESS
U
ZIP
Required Set Backs in Feet
T-
Mech.
SPECIAL APPROVALS
North South
East West
CON ACTOR
/C�
Plan Check
PHONE
Size of Parcel
Zone Classification
�s 7�
Planning
4'
,/'
Fire Marshall'
DDR S
ZIP
Type Const.
Occupancy
Sprinklered
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0P
G(.�✓uj
Utilities
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TOTAL $
❑Yes ❑No ❑ Req'd.
I.e ��1✓�
DESIGNER
Zone Clearance
PHONE
Valuation
Building Area in Sq. Ft.
5.
1 11 THIS BECOMES A PERMIT. nn
1 8 799 2 r]_ 1
DATE %2—I8^WOFFICIAL�� 0%
7'
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No.
Floors
No. Rooms
Rec. Room
TYPE NEW
❑ALT. ElAD'N. El RPL.
❑ MVE.
7,
OF
❑ BLD.
YIPLMB. ❑ MECH: ❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
8
DESCRIBE WORK
Z 4)
FEES COLLECTED
PERMIT NUMBER
Fil
-gzsl
DATE
03* *28.00
*28.00
*2B00
E *0.00
925.0
12-18-79
;? 6479,
VALUATIONrce
GAS
ELECTRIC
WATER
SEWER
9.
of
Utilities
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 constryction or the
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performance of lco�nnsoo,tr tion.
DATE t' O000, , SIGNATURE - y
Plumbing
T-
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
/C�
Plan Check
Env. Health
SEPA
Planning
Fire Marshall'
Mobile Home
00
Co. Engineer
C
Other (Specify —3�
Utilities
✓1 :.) c,
J �J 4!:4)
TOTAL $
I.e ��1✓�
Zone Clearance
C
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
1 11 THIS BECOMES A PERMIT. nn
1 8 799 2 r]_ 1
DATE %2—I8^WOFFICIAL�� 0%
7'
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