1979, 08-28 Permit: 79-2947 Plumbing Fixtures;LAN 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 D �SS J _ RJ
KLEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
R !J 1/_ I PRHQNE
DESIGNER / PHONE
5. ADDRESS ZIP
CHANGE OF USE FROM TO
6.
TYPE (7NEW El AA LT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 WORK L76LD. LJ —PL MB. ❑ MECH: L1M.H. ❑ POOL 11 OTHER
equired Set Backs in Feet
orth South
East West
ize of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
I
'aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
I Recd.
Not Re
of EXEMPTION
8 sr-% 11'W46609' FEES COLLECTED
DATE
PERMIT NUMBER
7
03* *32.50
*32.50
*3250
A *0.00
294.62
08-28-79
-R 6479,
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 granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I I la egulating construction or the
performance of construction.
Plumbing
DATE `� SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities '
TOTAL $
Zone Clearance
SEPA Checklist
WHEN MACHINE VALIDATED IN THIS SPACE,
/l" _ THIS BECOMES A PERMIT.
DATE OFFI l '',:5 0 8 —.7 8.,_ 7 9 1 9 4 7
*39gn0-j