Loading...
1980, 08-28 Permit: 80-9255 Piping PLAN NUMBERPERMIT NUMBER I APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT �� ?- S NNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES V4 * * .6 t ,J,OB ADDRESS (n� LEGAL DESCRIPTION - SEE ATTACHED r.:. LdT BLOCK SUBDIV ION PARCEL NUMBER/S 2. NER PHONE F . C 3. 5 Cz — AIS 9 9 5 i.;=j c,,AD RESS ZIP Required Set Backs in Feet c , L1 5 �� moi d North !South East West 0 r -2 P - C 0 CONTRACTOR I PHONE Size of Parcel Zone Classification 4. Gil% S ' (-vim' C!x ppith 44 -_58Se 6 47 9, ADDRESS ZIP /,, Type Const. Occupancy Sprinklered /` . / ( ai5 rtia,t- cicGo gO ❑Yes ❑No ❑ Req'd. 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. No. Baths No. Floors No. Rooms Rec. Room TYPE D NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER Req'd. Recd. Not Req'd. WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. .BAOL CERTIFICATE of EXEMPTION DE RIBS WORK ------ y� ^7 //�� _ 8 \f/�,�127< -y✓`. )-7.1.J' /C- . �'�� �/il' ` t .25 00,) %i�L�'7e�lo FEES COLLECTED A Source �. ELECTRIC WATER SE,We 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;.,/ local law regulating construction or the Plumbing performance of construction. ' / DATE 3 - - 7 ' 'so SIGNATURE �' Mech. _ ©d SPECIAL APPROVALS SPECIAL CONDITIONS: -�c� DEPT. REQ'D. RECD. / 7-197.e% ��Vw Plan Check Env.Health te At [1' ` SEPA ,D 1-- Planning s "0---" w Fire Marshall I, 5 / ,0/ Mobile Home _ 7 ' '' 7 Co. Engineer OSpe fy) 2` O J Utilities TOTAL $ 6, , 0a Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist / �. THIS BECOMF .0S A?ERMIT. 1 DATE __ OFF - —+.lig=__-.01111111r4 -� i > _ -, 1 APP _ . 0 FOR ISSUANCE