1979, 07-06 Permit: 79-153 Plumbing FixturesLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
PERMIT NUMBER
7 - i5
03* *38.50
*38:50 N
15,22
07-06-79
:2 6,479.
DESCRIBE WORK
8 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 1 Utilities Single $
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
JOB ADDRESS
p( 10"'L
LEGAL DESCRIPTION — SEE ATTACHED
1.
performance of construction. Plumbing -�
-,x b,
0/0"
DATE �`— T SIGNATURE i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
LOT
=/7
BLOCK
SUBDIVISION
Env. Health
PARCEL NUMBER/S
2.
z
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
OWNERPHONE
Utilities
TOTAL $
Zone Clearance
Niger
IN THIS SPACE,
SEPA Checklist THIS BECOME�Sj A PERMIT.
3.-i��G,
.4�
CC
_ 20
ADDREZ,5
ZIP
Required Set Backs in Feet
C,v�7
2/
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Elyes ❑No 1:1 Req'd.
PHONE
aluation
Building Area in Sq. Ft.
5.
l—
T--
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE
FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE NEW
1:1 ALT. El AD'N. 1-1 RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
{,r
11 OTHER
1-1 BLD.
IJp PLMB. ❑ MECH: ElM.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
/ _
of EXEMPTION
DATE
PERMIT NUMBER
7 - i5
03* *38.50
*38:50 N
15,22
07-06-79
:2 6,479.
DESCRIBE WORK
8 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 1 Utilities 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 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 state or local law regulating construction or the
ZZ
performance of construction. Plumbing -�
0/0"
DATE �`— T SIGNATURE i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning j
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOME�Sj A PERMIT.
DATE OFFICIAL 0 7- 0 "- 7 9
15, 3 z * 3 8, 5 0
_ 20