1980, 12-16 Permit: 80B-4916 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
2.
JOB ADDRJj /55��' ((// 1
!"CK 6 ll 4C
LO 5 (VISI N
LOT
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3. IZ 7tt-1 C.vn3S-7.12uGTr ord
PHONE
9L Z8 6
PARCEL NUMBER/S
ADDRESS
G. (612
r
ZIP
QRzo‹,..
Actual Set Backs in Feet
North South [East IWest
CONTRAC
4. ADORES
PHONE
.535- 9g7
Size of Parcel
Zone Classification
DESIGN
t,s ht) 24 v.
A/yYf
ADDRESS
raj
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
PHONE
Valuation
Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floor
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basemen
Unf in. Basement
TYPE ` I3%NEW
7. OF
ii`y}iJII--
WORK ie1BLD.
,,,0 ALT. 0 AD N. 0 PLMB. 0 MECH.
DESCRIBE WORK
8.
O RPL.
O M.H.
O MVE.
O POOL
/1 s&%,.
❑ OTHER
No. Bath
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
UTILF
ITIES
GAS
ELECTRIC WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
C.K.^ f' LBAu4fE L
DATE OF APPLICATION / =/(G/Ro SIGNATURE OF APPLICANT - r i_f�
SPECIAL APPROVALS SPECIAL CONDITIONS:
P NAME DATE _ .tom
Env. Health -- ""
Z - 32x3z�
A.
Planning
h= wC
Fire Marshall , [^y, r
Co. Engineer / 79' , t
Utilities /0� /'// p
Plans Examiner Sr
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech. .
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ �jjp�'/�J'�
�"/4(
PERMIT NUMBER
6-- 4I%
03* *4800
*4800 tri
*4a0o6
A *Q00 8
4'9 1.5 g
12'=16=8O `=
2 647.9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4.9,16t *ll&00i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
0
U
LLI
LL