1979, 08-23 Permit: 79-2732 Plumbing FixturesIFLLAN NUMBER
,l
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
1 OJt&r- '-Pqj-e- -Pn LEGAL DESCRIPTION — SEE ATTACHED
5- ji16
LOT I BLU( -71C- SUBDIVISION PARCEL NUMBER/S
8 DESCRIBE WORK / T
F'14 c��
t/ � 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 grang a permit does not presume Plumbing
to give authority to violate or cancel the provisions of any other state or local law re lating ction or the 3g�
performance of construction.
DATE' / SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
DATE Att C<-4 Z 7 L" ff7
03* *38.00
*388:00 N
*3 8 001
B *0.00 00
2731-4
08-23-79
2 6479.
Other (Specify)
TOTA L $ :3 •
WHEN MACHINE VALIDATED IN THIS SPACE,
�������� may' THIS BECOMES A PERMIT.
DATEEf��NOFFICIAL d.J ,mss � 08-2 3 -7 9 ,- 7 3. 2 c
*38.0000,=
OWNER ��Lt Cons t
PHONE
3.
ADDRESS
ZIP
L�
—` ,X0 V,
Required Set Backs in Feet
V�wd�40
North South
East West
CONT ACTORPHONES
Size of Parcel
Zone Classification
I�Irtatty
-�Nc—
S91.1"S
4.
ADDRESSG3
ZIP
Type Const.
Occupancy
kl
V�•�
❑Yes ❑❑ No Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ BLD. C�PLMB. I—]MECH: ❑ M.H.
El OTHER
1:1POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
8 DESCRIBE WORK / T
F'14 c��
t/ � 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 grang a permit does not presume Plumbing
to give authority to violate or cancel the provisions of any other state or local law re lating ction or the 3g�
performance of construction.
DATE' / SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
DATE Att C<-4 Z 7 L" ff7
03* *38.00
*388:00 N
*3 8 001
B *0.00 00
2731-4
08-23-79
2 6479.
Other (Specify)
TOTA L $ :3 •
WHEN MACHINE VALIDATED IN THIS SPACE,
�������� may' THIS BECOMES A PERMIT.
DATEEf��NOFFICIAL d.J ,mss � 08-2 3 -7 9 ,- 7 3. 2 c
*38.0000,=