1980, 09-25 Permit: 80B-865 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
rd r - e4f--
DATE %
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
4 R and
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.#
z
OWNER
PHONE
3. Neil Reed
922-1998
ADDRESS
ZIP
Required Set Backs in Feet
same
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
; 4
4. A DRESS
ZIP
Type Const,
Occupancy
Sprinklered
2 Howard
/�
99201
❑Yes []No ❑ Req'd.
`1
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
}
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑XNEW El ALT. 11AD'N. ElRPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
p�
❑ BLD. PLMB. ElMECH: ElM.H. 1:1 POOL
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
s. Ro h.in and et 1 shower. l water closet. 1 van't & 1 e a e e'ec or
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, Utilities
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. -v
Plumbing y�
DATE / A J �^ SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist /9 �.� _ ��f
THIS BECOMES A PERMIT.
5