1979, 07-19 Permit: 79-747 Plumibing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK /
�G-/, FEES COLLECTED
8.
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.JOB
ODRE S
'®!G
GAS
ELECTRIC
LEGAL DESCRIPTION —SEE ATTACHED
SEWER
LOT
BLOCK
—10N
of
Utilities
PARCEL NUMBER/S
2.
Single $
ISUB-1
OQ ER
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
P011-
3.
y/1
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
I 1 law the
/ / 7/
to give authority to violate or cancel the provisions of any other state or regulati g construction or
RE /1L1 —�
�-y
VV
performance construction.
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P� 7
Set BacksSoutheet
%off
DATE / �/ / SIGNATURE
North East West
SPECIAL APPROVALS
CONT ACTOR
P `
Size of Parcel
Zone Classification
Env. Health
J
4.r
ADD ESS
Planning
Type Const.
Occupancy
Sprinklered
Mobile Home
Fire Marshall
❑Yes ❑No ❑ Req'd.
DESIGNER
Co. Engineer
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRF_SS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPENo.
Baths
No. Floors
No. Rooms
Rec. Room
NE ❑ ALT.
❑ AD'N.
❑ RPL. ❑ MVE.
],
OF 1 /
IIPLMB.
El OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK LLL777 BLD.
❑ MECH:
❑ M.H. El POOL
of EXEMPTION
I
DESCRIBE WORK /
�G-/, FEES COLLECTED
8.
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9,
of
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
I 1 law the
to give authority to violate or cancel the provisions of any other state or regulati g construction or
Plumbing
performance construction.
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%off
DATE / �/ / SIGNATURE
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
PERMIT NUMBER
7q- -/ 1
DATE 7- / �.. 79
03* *40,50
*40.50 N
*40,50
B *0,00
7[Lb;2
07-19-79
6.479.
Utilities
TOTAL $�"
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE OFFICIAL 0 7 _ 19 —7 9 1 4./ 65
*40.5010`