1979, 07-06 Permit: 79-189 Plumbing FixturesPLAN 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
1. MICA PARK DRIVE, S. 1522-24 LEGAL DESCRIPTION -SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
r,
1 2
Mica Park Add
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
OWNER
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
PHONE
DATE SIGNATURE _
Mech.
3.
BURNETTS
GENERAL
CONT.
Env. Health
924-8842
SEPA
Planning
ADDRESS
Mobile Home
Co. Engineer
Other(Specify)
Utilities
ZIP
Required Set Backs in Feet
TOTAL $
Zone Clearance
E 19SC14
Mica View,
Gr
acres
THISBECOMESO
BECOMES APERMIT.
990 7
North South
East West
CONTRACTOR
PHONE -
Size of Parcel
Zone Classification
RIGGINS
PLUMBING
466-0741-
4'
ADDRESS
ZIP
TypW Const.
Occupancy
Sprinklered
Rt 2, Box
213K-1
99207
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW
❑ALT.
1:1AD'N.
1-1 RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD.
KI PLMB.
ElMECH:
ElM.H.
ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
FERMIT NUMBER
y_
DATE duly 6, 1979
03* *38.00
*38.00
18,82
07-06-79
p 6.479.
8• 14 Fixtures
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 local law regulating construction or the
performance of construction.
Plumbing 38.00
DATE SIGNATURE _
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other(Specify)
Utilities
38.00
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THISBECOMESO
BECOMES APERMIT.
UU UU 9 8. 9
DATE OFFICIAL
*38.00°r