HomeMy WebLinkAbout1980, 03-27 Permit: 80-2741 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE 3 —26'—Fe.)
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS /1/ /[ j /WJ
1. /' 5P.....
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
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2. ',/sooII
•7114-x l4r/Vv / /J PHONE C fl
3 ADDRE S {/ ZIP Required Set Backs in Feet 2 L/ (.,J
4 i' G7 Rec.-se North !SouthEast (West
CO TRA TO/�� added PHONE Size of Parcel Zone Classification U ` 2 ( - 0
RRS�� Z g��/ Type Const. Occupancy Sprinklered
4.
/1f7 9Y Les ❑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. El AD'N. ❑ RPL. 0 MVE.
7. OF ❑ OTHER
WORK ❑ BLD. PLMB. 0 MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION s
DESCRIBE WORK
8. C x re-3 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 granting of a permit does not presume Ggj ,�
to give authority to violate or cancel the provisions of any other state loca law regulating instruction or the Pl� g
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performanc of co struction.
DATE 3 /Erggo SIGNATURE_ � ! / 4...
Mech.
SPECIAL APPROVALS SPECIAL CONDI ONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA `D
Planning _ U-I
a.
Mobile Home V)
Fire Marshall
Co. Engineer Other (Specify)
Utilities ` .-
TOTAL �U
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 3-2.p-R- • THIS BECOMES A PERMIT.
DATE OFFICIAL c D.�I� ��.' ,
APPROVED FOR ISSUANCE _