1980, 05-08 Permit: 80-4478 Plumbing FixturesPLAN NUMBER
APPLICATCONP PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE )CNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. XPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Re(
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
GAS
JOB ADDRESS
WATER
9,
of
utilities
j
�i
Single $
LEGAL DESCRIPTION — SEE ATTACHED
1.
t
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 ws nd ordinances governing this
Building
LOT
BLOCK
SU DIVISION
j
performance o cons ruc44on.
S'
Plumbing
PARCEL NUMBER/S
2.
SPECIAL APPROVALS
I
DEPT. REQ'D. REC'D.
7DITIONS:
Plan Check
Env. Health
OWNER
PHONE
Planning
3
Mobile Home
Fire Marshall
Other (Specify)
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTRACTO
PL -ION
Size of Parcel
Zone Classification
ADD SSZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
i
Cl�rLGp1�A.
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDREA6
ZIP
DWL Area
Basement Area
Garage Area
Storage
X
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms i
Rec. Room
TYPE )CNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. XPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Re(
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
Utilities f
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATE
SEPA Checklist THIS BECrOMEPA PERMIT.
DATE) OFFICIAL_ C VU R
PERMIT NUM=
ER
DATE
03*1 *35,30
C
3
k � 1,
7D50�
B * G. 0 C7
4.7,7
05-08-80
6479,
THIS SPACE,
r�.j, *35,5s
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9,
of
utilities
j
Single $
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 ws nd ordinances governing this
Building
type of work will be complied with whether specified herein or not. The g t' f a permit does not presume
to give authority to violate or cancel the provisions of any other state or cal regulatin onstr ion or the
j
performance o cons ruc44on.
S'
Plumbing
DATE SIGNATURE_
Mech.
SPECIAL APPROVALS
SPECIA
DEPT. REQ'D. REC'D.
7DITIONS:
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities f
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATE
SEPA Checklist THIS BECrOMEPA PERMIT.
DATE) OFFICIAL_ C VU R
PERMIT NUM=
ER
DATE
03*1 *35,30
C
3
k � 1,
7D50�
B * G. 0 C7
4.7,7
05-08-80
6479,
THIS SPACE,
r�.j, *35,5s