1979, 07-20 Permit: 79-827 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
7
DATE C
03* *40.50
*4050
*40,50
A *0.00
826
07-20-79
2 6.479.
DES I (4�oR �
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADD Ess4•
of
9. Utilities
LEGAL DESCRIPTION — SEE ATTACHED
1.
on reverse side, and know the same to be true and correct. All provisions of laws and ordinhis
Building
type of work will be complied with whether specified herein or not. The granting of a permresu e
LOT
BLOCKSUBDIVISION
"
Plumbing '37A0-
PARCEL NUMBER/S
2.
DATE ` SIGNATURE
ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
OWNER
/
PHONE _
Planning
Fire Marshall
Mobile Home
Co. Engineer
'�, ���
Other (Specify)
a" t
A15DRESS
�y �" ���
ZIP
Required Set Backs in Feet
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
nnTF nr=r=irI a
THIS B COMES A PERMIT. 7
913
North South
East West
C.-ONTRACTiOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESSZ
Type Const.
Occupancy
Sprinklered
(N7
❑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.
TYPE
No. Baths
No. Floors
No. Rooms
Rec. Room
NEW
❑ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
7,
OFElOTHER
13BLD.
;Y PLMB. ElMECH: ElM.H.
11POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
PERMIT NUMBER
7
DATE C
03* *40.50
*4050
*40,50
A *0.00
826
07-20-79
2 6.479.
DES I (4�oR �
FEES COLLECTED
8 /
R
VALUATION Source GAS ELECTRIC WATERZes
of
9. Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE"cluded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinhis
Building
type of work will be complied with whether specified herein or not. The granting of a permresu e
to give authority to violate or cancel the provisions of any other- state or local law regulating e
'i fi /n
performa`n�ce construction.
performance
Plumbing '37A0-
if
l�
DATE ` SIGNATURE
ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
'�, ���
Other (Specify)
a" t
Utilities
�y �" ���
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
nnTF nr=r=irI a
THIS B COMES A PERMIT. 7
913
*40,50,