1979, 08-31 Permit: 79-3253 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
MISSION, E. 17620
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
NORTHWFST CONSTRUCTION
PHONE
922-1705
PARCEL NUMBER/S
ADDRESS
ZIP
Required Set Backs in Feet
North 'South East 'West
4.
CONTRACTOR
MARTINS PLUMBING
PHONE
924-9057
Size of Parcel 1 Zone Classification
ADDRESS
E. 14313 Trent
DESIGNER
5' ADDRESS
ZIP
99216
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
DWL Area 1 Basement Area ( Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
0 BLD.
0 ALT. 0 AD'N. ❑ RPL. 0 MVE.
PLMB. ❑ MECH:❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
g. PLUMBING 10 Fixtures
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
();;42____
DATE gibi/19 0FFICIA
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
28.00
$ 28.00
PERMIT NUMBER
7q- 3,16-3
DATE August 31, 1979
03* *28.00
*28.00
*28.00
A *000
3252
08-31-79
2 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS COMES A PERMIT.
-'3 1 7 � 5.5
* 2 `J. 0 0 il.:. F