1980, 08-19 Permit: 80-8738 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 3 -COPIES
1.
2.
3.
JOB ADDRESS . /79/Y' / �/9/oe,/
LOT BLOCK 1SUBD VISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
o// S 74
PHONE
PARCEL NUMBER/S
ADDRESS
ZIP
4.
5.
6.
CO NT Ryf¢TO R
ADDRESS
PHONE
DESIp/ LR ISDN J ief ii &
ADD/(/ SS
3o io /f/iss/9 )
CHANGE OF USE FROM
TO
ZIP
71` -'moire
Z 1992-/
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves ONo 0 Req'd.
Valuation Building Area in Sq. Ft. '
Main Floor Upper Floors Garage Area Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPE i"" NEW
7. OF ,y�-
WORK K]-
- BLD.
0 ALT. ' 0 AD N. 0 RPL. 0 MVE.
PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
8.
A' 4/eS //
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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 can el th- provisions of any other state' or local law re ting c.• truction or t
performance of construction. SEE EV"SE'SIDE FOR REQUIRED INSPECTIONS
/�j/
DATE OF APPLICATION
3 /O
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Ut 11 it ies
. Plans Examiner
SEPA Checklist
Bunchnician
y�
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing 3O 4251
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$O
TOTAL $ 30
PERMIT NUMBER
$O -9738
03* *30.50
*3Q50 5
*3Q506
E *0.00 0
8731
08-19-80
8 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.8 ~'19'`- 8tOf. 8:7.3.8g :* 3 0..5 0 d 1' -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL