1979, 09-06 Permit: 79-3452 Plumbing Fixtures P.LAN NUMBER APPLICATION/PERMIT PERMIT MBER 9"---'
► SPOKANE COUNTY — BUILDING CODES DEPARTMENT
•
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 3* * 2 B 0 0
t ` r�Ess V `� LEGAL DESCRIPTION - SEE ATTACHED * 2&0 0
LiT BLO su pivisio G PARCEL NUMBER/S * 2 8 0 0 vY
2. I t't -vkbLr t I( %11 A * Q 0 0
OW ER " '� H NE
3. LO \\(N\ Lkv, A��vm ti, .-01,12 345199-06-79
AD SS /� /{i ZIP Required Set Backs in Feet 6.4 7 9.
1 U v Y1 �G C/ North (South East (West
CON ACTOR , P ONE Size of Parcel Zone Classification
CA---k\Ili 1 S. -C- Q t� �t i 14 5 4 ZZ-j 7Lj"2-
4.
4. ADDRESS } Type Const. Occupancy Sprinklered
"?�Z 609 �_ C __*-e Z t .a�. ❑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 ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE WORK } "
8. Lin 1
/ - J�./ l FEES COLLECTED
VALUATION I{ t,< r
ource 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
performs e of con truction. '( d Plumbing
DATE ; -- 7�� SIGNATURE v��`� \ ( ffrAi.1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. .-- REQ'D. REC'D. Plan Check
Env.Health
i
SEPA
Planning i
i
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities 417
TOTAL $t,"4"---
Zone
Zone Clearance
116r r WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /,I �i�`' , THIS, CoF E A REMIT. ,5 2 �i * 9 8 I,i
N �� o
DATE/ OFFOr
APPRI r D FOR ISSUANCE