1979, 10-01 Permit: 79-5035 Lawn SprinklerPLAN 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
8117 E. Mission, Spokane, WA 99206
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
Clifford Kingsmore
P`1L4E7942
PARCEL NUMBER/S
ADDRESS.
same
ZIP 99206
Required Set Backs in Feet
North 'South East
'West
4.
CONTRACTOR
"'Evergreen Lawn Sprinkler Co',
ADDRESS — -
5.
DESIGNER
PHONE
535-4777
Size of Parcel
- Zone Classification .
E. 5301 Broadway, Spokane, WA
ZIP . - _
99211
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZI P
DWL Area
Basement Area
Garage Area •
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room.
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK .
8. lawn sprinkler
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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. .
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D.
REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 1/747 OFFICI
/ APPRO
R ISSUANCE
FEES COLLECTED
Single
Building
Plumbing 5.50
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
5.50
0
DATE 9/21/79
03* *550
*550
*5506
8 *Q00
50343
10-01-79
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10!,a: 0 7,-;.7i 9.
5'0'35 z
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