1979, 11-06 Permit: 79-7390 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE IXNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
APPLICANT:
COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 4 COPIES
JOB ADDREr$S
7, OF El OTHER
LEGAL DESCRIPTION — SEE ATTACHED
CERTIFICATE
Req'd.
Recd.
Not Re,
❑ BLD.'PLMB. ❑ MECH: El M. 1:1 POOL
LOT
LOCK
SUBDIVISION
I
PARCEL NUMBER/S
2.
FEES COLLECTED
8 `/ / G%
VALUATION Source GAS ELECTRIC WATER SEWER
of
OWNER
O 7 1 i
Single $
PHONE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
3.
ADDRESS
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ZIP
Required Set Backs in Feet
performance of construction.
Plumbing
North South
East West
SPECIAL APPROVALS SPECIAL CONDITIONS:
CONTRACTOR �p
DEPT. REQ'D. RECD. (+N ?-b*W INsPEcVvN WEvN-5PAY
Plan Check
PHONE
Size of Parcel
Zone Classification
SEPA
G k, r o / �
�t 6i 1,
a
Fire Marshall
4'
ADDR SS
ZIP
Type Const.
Occupancy
Sprinklered
[C,
/, 7/t�z ( 0 Usti �'
// "�) rj
(��
[]Yes❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADD RESI,
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE IXNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF El OTHER
CERTIFICATE
Req'd.
Recd.
Not Re,
❑ BLD.'PLMB. ❑ MECH: El M. 1:1 POOL
WORK
of EXEMPTION
I
DESCRIBE WORK
FEES COLLECTED
8 `/ / G%
VALUATION Source GAS ELECTRIC WATER SEWER
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 l G SIGNATURE _ �\
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. (+N ?-b*W INsPEcVvN WEvN-5PAY
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
^ PERMIT NUMBER —�
ty� 7q- 3 9�
DATE
03* *30,50
*3a50
*30,50
B *t,00 n
738.9.2
1 1 -06-79
.2 6,479,
O
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
ESA PERMIT.
DATE I-(oOFFICIAI V'f&ft1AAI/ ` O 6-79
/ " - 7 9 7 3 9. 0
*30.5 n1 O