1980, 12-16 Permit: 80B-4912 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 ,,))r
1. LOT 8/0448 LOCK BDIa N G/A
2.
OWNER
3. ZUTI+ Cora S trauLTto,.)
ADDRESS
/lO IT
CONT T R
67111
4.
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PHONE
aZFS'Zit 48
ZIP
9Q Z-0Ce.
Actual Set Backs in Feet
North (South 1East (West
PHONE
Size of Parcel 1 Zone Classification
5. DES( ret 4 5/i n)IYCe. e-(za/� L
AD R 55 /
1�l044
13O
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
ZIP
Type Const.
Occupancy
Sprinklered
Dyes ❑No 0 Req'd.
PHON
.5 9876
Valuation 1 Building Area in Sq. Ft.
Main Floor
Upper Floors 1 Garage Area
Area of Decks
Finished Basement
Storage
Unfin. Basement
yl NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
BLD. IPLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. i et �f
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
LECTRIC
WATER
SEWER
Ownership
Public O Private 0
LSE 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
DATE OF APPLICATION
t2/ 10/80
RICK 13A44c0 Cot,
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
�#,
SPECIAL CONDITIONS:
Zr Szeoz as
t
2— /0
1, oiilt/ccr
z- fl,G.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building _gem
Plumbing em
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
03* *4&00
*48.00 t
*4aoo6
A *0.00
491.1 2
12.-16-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
6 x8.81
DATE ISSUED
419].21r *48.0-0 W.
PERMIT NO. TOTAL
0
U
Lal
J
LL