1980, 08-20 Permit: 80-8822 Plumbing FixturesPLAN NUMBER 'any._
•
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 ADDRESS
4M#sA4ct 6/Sex18—zo
LEGAL DESCRIPTION —.SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
4.
OWNER
MC CA./
ADDRESS
W. :332q QUEEN
0 j., 3ORZ
PHONE
Sas- 3&I
PARCEL NUMBER/S
CONTRACTOR
/9,94,4e..0:9 F,eyc N
ADDRESS
e• /65/,3 vAie.4EVN/NY
P
PHONE
C3z6—CO7.3
ZIP
99ozc
Actual Set Backs in Feet
North 'South
East
(West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
DYes DNo D Req'd.
5.
DESIGNER
PHONE
Valuation.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
6.
7.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE ..tte NEW'
WORK 0 BLD.
OF
❑_,/ALT.
EB PLMB.
O AD N.
D MECH.
0 RPL.
❑ M.H.
D MVE.
D POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCniBE WORK
8. ja ft/fru/ea-5
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 cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION — Sep
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
SIGNATURE OF APPLICANT
Env. Health
Planning
Fire Marshall
Co
Englnee
UtiI
es
Plans Examiner
SEPA ChecktIs
Building Technician
44114-
8 z0
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
$
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $S!i
PERMIT NUMBER
llir
10 80 —&92t
03* *3550
*3550 N
*35506
E •*Q00 8
88218
08-20-80
- 2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE;
THIS BECOMES A PERMIT.
biBrk'12J 0E'= 81'01
DATE ISSUED PERMIT NO. TOTAL
88`2,2= *35.502
1
O
U
LU