1980, 02-14 Permit: 80-1174 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 ,,
ca .
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVI I N PARCEL NUMBER/S
PERMIT NUMBER
DATE
iJ* *7G,:�C:
�i Lf U
*"n. JOiv
117,3
s2-14-80
2 6479,
DESCRIBE WORK
$Y FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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
2.
to give authority to violate or cancel the provisions of any other stateor law regulating nstruction or the
performance of construction. t Plumbing
R
DATE Ap SIGNATURE
—fL�r _ Mech.
SPECIAL APPROVALS SPECIAL DITIONS:
OWNER
Env. Health
SEPA
PHONE
Planning
_ v
3.
Fire Marshall Mobile Home
-
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
ADDRESS
IN THIS SPACE,
SEPA Checklist THIS,.fg%?,T A PI;,iM1T.
j L. k ``II -'� I .;
0
1 7,1 " * 5 . 5 Il �-
ZIP
Required Set Backs in Feet
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
AD RESS
ZIP
Type Const,
Occupancy
Sprinklered
E. /
9 94,�2
Dyes ❑No ❑ Req'd.
8
PHONE
Valuation
Building Area in Sq. Ft.
L-
1
5.
ADD
ZIP
DWL Area
Basement Area
Garage Area
Storage
PES
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE
ANEW
'
El ALT.
1:1AD'N.
11 RPL.
1-1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑
OTHER
11 BLD.
IX1PLMB.
ElMECH:
ElM.H.
1-1POOLCERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
PERMIT NUMBER
DATE
iJ* *7G,:�C:
�i Lf U
*"n. JOiv
117,3
s2-14-80
2 6479,
DESCRIBE WORK
$Y FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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 stateor law regulating nstruction or the
performance of construction. t Plumbing
R
DATE Ap SIGNATURE
—fL�r _ Mech.
SPECIAL APPROVALS SPECIAL DITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
r -
Planning
_ v
c
Fire Marshall Mobile Home
-
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS,.fg%?,T A PI;,iM1T.
j L. k ``II -'� I .;
0
1 7,1 " * 5 . 5 Il �-
...