1980, 11-06 Permit: 80B-3314 Plumbing FixturesER , APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
r NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
Al. q4P
Main Floor Upper
Floors I
Garage Area
'LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
OWNER
TO
PHONE
Finished Basement
Unfin. Basement
3.
ADD ESS
ZIP
Baths
Actual Set Backs in Feet
No. Rooms
No. of Dwellings
%, OF ❑OTHER
North South
East West
karWRACTOR
PHONE
❑ BLD. 1-1PLMB. 13MECH. EIM.H. Elc.
POOL
Size of Parcel
Zone Classification
4.
Redeq'd.
Not R
WORK
of EXEMPTION
ESS-'
ZIP
Type Const.
Occupancy
Sprinklered
Location (Area)
FEES COLLECTED
8 �
❑Yes ❑No ❑ Req'd.
DESI GfJ ER
VALUATIO
PHONE
FffFZTRIC
Valuation
Building Area in Sq. Ft.
PERMIT NUMBE
R
d, — 3 :
03* *1000
* 1 r' 0 0
*100065
* r, 1 0
331.39
11-06-80
s 6479,
5.
ADDRESS
ZIP
Main Floor Upper
Floors I
Garage Area
Storage
—
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. El MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
%, OF ❑OTHER
❑ BLD. 1-1PLMB. 13MECH. EIM.H. Elc.
POOL
CERTIFICATE
Req'd.
Redeq'd.
Not R
WORK
of EXEMPTION
DESC BE K
Enum. Dist.
Location (Area)
FEES COLLECTED
8 �
VALUATIO
SOURCE GAS
FffFZTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES I
Public 11 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
ll�'33
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
/►(/1�✓
Mobile Home
Fire Marshall
1-7 ..�
Co. Engineer
/
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
.�, lI F,0 6 80. 3,,.31.41 * 1 a 0 0 0a
Buils(in Tec�hrlcian P.