1979, 11-01 Permit: 79-7158 Mechanical Fixtures ('_--ct9
• PLAN NUMBER APPLICATION/.PERMIT
PERMIT NUMBER I
fr SPOKANE COUNTY — BUILDING CODES DEPARTMENT 79 - 7/ "'g3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES DATE
JOB ADDRESS 0 4 *, * 1 5.0 0
i. sy LEGAL DESCRIPTION - SEE ATTACHED * 1500NLO( BLOCK �SUBDIiiVr.")/6-1-'4--dj --- PARCEL NUMBER/S
Z' * 1 5.006
WNER
PHONE
3. E * 0.00
.
ADDRESS
ZIP Required Set Backs in Feet 7 1 5 7 2
North (South East (West 1 1 —0 1 -7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS c-7---- _ $ f�479,
ZIP Type Const. Occupancy Sprinklered
�Z Dyes DNo ❑ Req'd.
DES PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP DWL Area I Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. CI RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room
7. OF ❑ OTHER
WORK ❑ BLD. CIPLMB. ElMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR1•5_,
8. U✓c✓J ( 13<) 7 vv" 6514 --.
l_ � FEES COLLECTED
VALUATION Source GAS ELECfiIICw WATER SEWa --.- t,.-‘ ••--j
R �
of
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
performance of construction. Plumbing
DATE I - ( C SIGNATURE ` w
war ------�.pech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. 1 8 " Plan Check
Env. Health /�J '
SEPA `f`
Planning ,f,
'c_J
^ UJ
Fire Marshall Mobile Home n
Co. Engineer I s�T Other (Specify)
Utilities 1,:-' J—
"! i TOTAL $ / --
Zone Clearance
WHEN
MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist // THI COMA,PERMIT.
DATE0 OFFIC E 11 —,011-79 715.8z * 15. 00aF
APPR(I FOR ISSUANCE