1980, 09-25 Permit: 80B-882 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 3•COPIES
JOB ADDRESS 71/(e2-€7-4-74"-/-"-€1
t. L /7 OCK
L T I BLOCK SUBDON
2.
O NERA
3 ent n n /3R.a. .ca.
A
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
DRESS
5.
PHONE
926 -ass?
P i o / /9 711 }1.02-e ac-
COCO TRACTOR
ZIP
99Q6G
Actual Set Backs in Feet
North 'South East IWest
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
>�i.Q/v7�
DESIGNER
ZIP
Type Const.
Occupancy
Sprinklered
'Yes ❑No 0 Req'tl.
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
❑ ALT.
PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
SCRIBE WO ,
8. wit C ,�G
V LUATION SOURCE GAS
9.
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Enum. Dist.
Location (Area)
E ECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
DATE OF APPLICATION 9'i-2S—ea SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
UtIlit le
Plans Examiner
SEPA Check`
B ding Tecfnl clan/
AI I
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED' '--
Single $
Building
as
Plumbing ,
Mech.
Plan Check
SEPA •
Mobile Horne
Other (Specify)
TOTAL
yE RM)T,NUMBER
b'0 J3- '8A'
03* *25.50
*25.50 6
*25506
A ,*000 3
88..12
09=25-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10,9;Hi,2i914,81,V', 8 8.2 z * 2 5,'5.0 °
DATE ISSUED
PERMIT NO. TOTAL