1979, 09-24 Permit: 79-4609 Plumbing FixturesPL/aN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
5.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
�5-� a�
LEGAL DESCRIPTION - SEE ATTACHED
ADDRESS
ZIP
J
Basement Area
Garage Area
.I_n- '^'^r'K
SUBDIVV1wON
-AAHCA
PARCEL NUMBER/S
DlNwc
Split
o�.nNF
Rancher
3.
ADnRE�:,S
❑ RPL. ❑ MVE.
Required Set Backs in Feet
North South East West
No. Rooms
CONTRACT
f.
�r,^ I �'y
❑ OTHER
❑ M. H. ❑ POOL
P ONE
`'/i
D L� 27
Size of Parcel
Zone Classification
4'
ADPJ�2 S>S
j
Recd.
ZIP /
Type Const.
Occupancy
Sprinklered
Dyes [:]No ❑ Req'd.
DESIGNER
DESCRIBE WORK
I PHONE
lValuation
IBuilding 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 XNEW ❑ ALT. ❑ AD -N.
❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF
❑ BLD. PLMB. ❑ MECH:
❑ OTHER
❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
FEES COLLECTED
8.
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 constr or the
�-7
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performance of construction.
y
Plumbing
0,17 %
DATE
SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home ''/j'
Co. Engineer
O er Specify) 3-W10
Utilities
/, / /+}
TOTAL $ L
Zone Clearance
%1,,(,/�// �'
WHEN MACHINE VALIDAI
SEPA Checklist
o
THIS BECOME/�S A /PE(�RMIT.
n
O 7 -2 't..— / 7
DATE OFFICIAL^1a
PERMIT NUMBER
DATE�,{���/
03* *7300
*7300 v
*7300Y:
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46a85
09-24-79
6.479,
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