1979, 12-31 Permit: 79-9664 Mechanical FixturesPERMIT NUMBER
j�
DATE
TYPE SE—VEW ❑ ALT. IXAD'N. ❑ RPL. ❑ MVE.
7, OF ❑OTHER
WORK 11BLD. ❑ PLMB. ❑ MECH: EIM.H. 1:1POOL
�d
PLAN NUMBER
APPLICAION/PERMIT
CERTIFICATE
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
I Recd.
Not Req'd.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
of EXEMPTION
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADD ESS
M
LEGAL DESCRIPTION — SEE ATTACHED
1.
, 0? 130-2-
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
LOT
BLOCK
SUBDIVISION
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
PARCEL NUMBER/S
2.
Building
I
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
OWNER
Plumbing3,b6
PHON `�
3.
/" I r • I�YI � �
S,)
Plan Check
Env. Health
ADDRESS
ZIP
Required Set Backs in Feet
Fire Marshall
Mobile Home
Co. Engineer
North South East West
Utilities
CONTRACTOR ji, L
AIMN�'LiI
PHONE
��
Size of Parcel
Zone Classification
WHEN MACHINE VALIDATED
r�C
'oP 00
DATEhLSLJ1 ,OFFICIAL
4.
AD RESS
P
Type Const.
Occupancy
Sprinklered
E. a[ O
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area I
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
s.
No. Baths
No. Floors
No. Rooms
Rec. Room
PERMIT NUMBER
j�
DATE
TYPE SE—VEW ❑ ALT. IXAD'N. ❑ RPL. ❑ MVE.
7, OF ❑OTHER
WORK 11BLD. ❑ PLMB. ❑ MECH: EIM.H. 1:1POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. J� / 5aU-e- f ue/ jom r
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
'14
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,
Plumbing3,b6
DATE SIGNATURE_
� �
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $ % .0
Zone Clearance
WHEN MACHINE VALIDATED
SEPA Checklist
//JJ
THIS BECOMES A PERMIT.
DATEhLSLJ1 ,OFFICIAL
04* *7.00
*7.00
*7.001
E *000
96(x3-
12-31-79
;2 6479.
IS SPACE,