1980, 07-23 Permit: 80-7536 Laundry TubPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER '
SPOKANE COUNTY - BUILDING CODES DEPARTMENT "v _ 75 3
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRE HAft TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
OWNFER
PHONE
3. f
7
ADDRESS
ZIP /�9/ry�_
7
Actual Set Backs in Feet
/ / a.
North South East
West
CONTRAC OR
PHONE
Size of Parcel Zone Classification
-
4' A6
,RE
2
ZIP
Type Const.
Occupancy
Sprinklered
-,t—
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellinc
TYPENo.
❑ NEW E) ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 1 ' 11 OTHER
El BLD. LMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'c
WORK
of EXEMPTION
DESCRIBE WOR
Enum. Dist. Location (Area)
FEES COLLECTED
8
L���
VALUATION
SOURCE
GAS
ELECTRIC
TER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
K
Public ❑ Private ❑
Single $
1 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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
neer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
nn PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) ry
TOTAL $
03* *5.50
*5.50 t5
*5,501
E *0.00 0
753.5
07-23-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO. TOTAL
O
U
LU
J
ti