1980, 07-29 Permit: 80-7836 Plumbing FixturesPLAN NUMBER
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APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 /, (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB (iESS
LO /-/ BLOCK
2. lea 1 )
a ow 1 lk ,
(- I S
ADcfrisS, (3� -t'cIc4. ,. /
CCIL-RT Q E -/ / P/Y /IYDSI p
AD
ll-o / --rye At
DESIGNER
E. Nva x toed
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
5.
PARCEL NUMBER/S
PHONE
ZIP
yg:719.6
Actual Set Backs in Feet
North 'South
East -
'West
Z -ONE
-2o4z.
PHONE
Size of Parcel - Zone Classification
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No _ 0 Req'd.,
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
OF
WORK
ANEW
/❑`BLD.
❑ ALT.
APLM B.
0 AD N. 0 RPL.
MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.—
Recd.
Not Redid.
DESCRIBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
AS
ELECTRIC
WATER
SEWER
Enum. DIst.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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 . • • _ =nen -s governing this
type of work will be complied with whether specified herein or not. The gra. ' g of a I. doe ume
to give authority to violate or cancel the provisions of any other state or loaf law n�,�ns�Ction or e
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE T'
DATE OF APPLICATION
SPECIAL APPROVAL
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
749
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
-/ _ n r
L L.W-
-pito,
I -L,%
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
lZ
FEES COLLECTED
Single $
Building �/I
Plumbing 4 , IO
Mech.
Plan Check
SEPA
Mobile Home
Ot r (Specify) 7 SO
z7
TOTAL $ 3?. 5O
...PER Got NUMBER
g�- 733
03* *3350
*3350 17.5
*3350,5
E *000
78352
07-29-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01711 i:rtV't,1810' 78362 ;>133.50a.
DATE ISSUED
PERMIT NO. TOTAL