1979, 11-21 Permit: 79-8220 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT / PERMIT
7NUMBER
I
' SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 1/-21-79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
03 * * 33.00
1 JOB ADDRESS .9.9/6 ,V /.?
/7�/ LEGAL DESCRIPTION — SEE ATTACHED
* 3300 tri
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 3.0 0
2.
OWNER PHONE E A * 0, 0 0 LJ
3.
ADDRESS ZIP Required Set Backs in Feet 8 2 1.9
North 'South East (West 1 1 —2 1 —7 9
R
CONTRACTO // PHONE Size of Parcel Zone Classification
Deli
4. d-1 doge 7% 92e-/.5 ,1 2 6,479,
ADDRESS/� , � `� ZIP Type Const. Occupancy Sprinklered
`/ 1f17v/ 9Po Oyes ❑No ❑ Req'd.
^��co ,/► PH Q.1)41 E..., v Valuation Building Area in Sq. Ft.
5. its��, P V d35 -?876
-
ADDRp0' Dox f `_(!�f�? 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. 0 MVE.
7. OF ❑ OTHERReq'd. Recd. Not Req'd.
WORK ❑ BLD. 0 PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8.
/i '•x7'la, S FEES COLLECTED
VALUATION 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 ! .nt•t of a permit does not presume M
to give authority to violate or cancel the provisions of any other state or :I . regula '•a co uction or the L_'1hL�
performance of cconstruct'on. Plumbing
DATE //! /b l�7 ' SIGNATURE I 0, -' v' Mech.
SPECIAL APPROVALS SPECIA • DITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health ;Y
SEPA o
Planning v
- w
a-
Mobile Home c.r)
Fire Marshall —
Co. Engineer Other (Specify) J�tet
Utilities c3
TOTAL $ JV
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist //-. ./- 7% p THIS BECOMES A PERMIT.
DATE OFFICIAL,4/� / W1I ,' 1 , �.,. ,J 1. 2 2 2 l-
APPROVED FOR ISSUANCE —