1979, 11-13 Permit: 79-7732 Plumbing FixturesPLAN 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 4 COPIES
JOB ADDRESS
T BLOCK SUBDI VI ION
LEGAL DESCRIPTION — SEE ATTACHED
2.
PARCEL NUMBER/S
ril E R 5 Q s D^
%[izLa
llAD1/tet/4174
c TACTOR
€
)1/24/2/-44C4444_,
4. ADORE' ^4 aESIGNER
6' ADDRESS
PHONE
ZIP
C74'zi4
Required Set Backs in Feet II
North 'South tEast 'West
PHONE
Size of Parcel 1 Zone Classification
ZI P
Type Const.
Occupancy
Sprinklered
DYes ❑No 0 Req'd.
PHONE
Valuation 1 Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE 0 NEW 0 ALT. 0 AD N.
7. OF
WORK 0 BLD. J1i1 PLMB. ❑ MECH
❑ RPL.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DEAi?
S5RIBE WO/RK /�
8. 444 AAA •y.e , ,+''
VALUATION Source GAS
of
9. Utilities
EL
e
ECTRIC 1
liffe
W TER
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 //--/j-79 SIGNATURE
T
DEPT. '
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CON •�'.N
DATE/ /✓— OFF I CI AL.2�����i/�Q/7t/W�-�
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
G
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
79-7732
DATE //""16— n
03* *25.50
*2550 N
*25506
B *000 0
77322
11-13-79
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11=2.35-2.7 9. 773:5
*,25.'502,0