HomeMy WebLinkAbout1979, 09-27 Permit: 79-4862 Plumbing Fixtures PL.,N NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT p g '
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE � ' /7
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB DDRESS
DDRESS 03 * * 35,50
1� i'✓r " '- LEGAL DESCRIPTION - SEE ATTACHED * 3 5.5 p
L BLOCK SUBDIVISIO PARCEL NUMBER/S * 3 5 5 0
2.
,
OWNER PHONEE
3. dE` IS - E * 000
AD R SS ZIP Required Set Backs in Feet 4 8 6 1
a North 'South East (West 0 9-2 7-7 9
CON ACTOR / PHONE 1 Size of Parcel Zone Classification
4.
ADDRESS f Z Type Const. Occupancy Sprinklered
/3 2- 0-3 c `Z Vy2-1 ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
rJ. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPENo. Baths No. Floors No. Rooms Rec. Room
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. 1 FEES COLLECTED
VALUATION Sour GAS ELECTRIC WATER SEWER
0
9. Utilities
Single $
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 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 g SZ?
performance of o-n7str�ujtion. ���� Plumbing J2
DATE , 2 l/ ! r SIGNATURE lee- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
oc
SEPA o
Planning
UJ
2
Fire Marshall Mobile Home
Co. Engineer Other(Spgcif 1 300
Utilities
TOTAL $35;
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
ry THIS BECOMES A PERMIT.
DATE-.2.7-7 ( OFFICIAL/� '� / An:1,126,4-' 0 I - ( 7 eL * ) 5. 7 0 i
APPROVED FOR ISSUANCE