HomeMy WebLinkAbout1979, 09-26 Permit: 79-4752 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE y..-2 6:" - 79
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
03* * 3Q50
1 Joss, %- ' O `i ek44's-- T? b . LEGAL DESCRIPTION - SEE ATTACHED * 3050 n
OT BLOCK SUBDIVISION PARCEL NUMBER/S * 3050
2.
OWN PHONE E *0,00 0
3. / f g oz. D 4751 8
ADDRESS ZIP Required Set Backs in Feet
North (South [East (West 09-26,-79
CONTRACTORPHONE Size of Parcel Zone Classification
a.
PD 'A1 D .p f R, 'c/i �a? '-5//-i& g 6,479,
DRESS / �� pPAli ' ZIP _J�� Type Const. Occupancy ❑Yes ❑No Sprinklered
Req'd.
k. /424713 i/NA44
Loll
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. LMB. 0 MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DES'RIBE WORK 1/ J
$ �� 1 M�/ -r` FEES COLLECTED
VALUAT ON • 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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the a V4�
performance of construction. ` Plumbing
DATE i SIGNATURE C) 241 1/►4-4C✓'4 Mech.
,, SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA o
Planning — W
m.
Mobile Home
Fire Marshall '�,� act Z
Co. Engineer �' `Srnfy) f v v
Utilities TOTAL $ 3 0(-
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Jo _ 4 - 7 ° 7- 75. L ' * 5 0,5021='
DATE OFFICIAL
APPROVED FOR ISSUANCE -