HomeMy WebLinkAbout1979, 09-06 Permit: 79-3454 Plumbing Fixtures 'PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER I
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT r -7, -b4-5 -
. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
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J AD s
1 LEGAL DESCRIPTION - SEE ATTACHED 0 3* * 28.0 0
'1V1 ~( & ��_S Q
* 2800
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. q .7)..... /4-g,,tyDA'/C,-;S Cr * 2 a 0 0
OWNER PHONE
O �. "1A--4.1 77- -4,59, A * 0,00
ADDRESS Cie' ,? ZIP Required Set Backs in Feet 3 4 5 3 2
C
,.1 j/ ie teeZ/,4` ,b North 'South East (West 9 6 n
CONTRACTOR PHONE Size of Parcel Zone Classification 0 0 7 9
4. -cj ,-.1 „z) 5 F P�-ct✓�/7�?� C3 2.-.2_-I 79 2 6,479,
ADDRESS / Type Const. Occupancy Sprinklered
4) . 7 � ”Z 4 '/ � t /y. C/Zt)P q`Q k} ❑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 1=1BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR
8 j41/214"1
`1/214 L/ / /9 P'n r /£s FEES COLLECTED
VALUATION •C 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 OG
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performs ce of construction. Plumbing :2-
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DATE 'i —7 6 SIGNATURE\ �►-- R ‘..b l�\1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA
0
Planning
U
W
Fire Marshall Mobile Home can
—
Co. Engineer Other (Specify)
r)C%
Utilities
TOTAL VS +
Zone Clearance
SEPA Checklist ti WHEN MACHINE VALIDATED IN THIS SPACE,
11.—
THIS BECOMES A PERMIT.
DATE OFF' �1
APP'' D FOR ISSUANCE