1979, 07-03 Permit: 79-56 Plumbing Fixtures1 -1 -AN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS r/'
� S LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK SUBDIVISION1 PARCEL NUMBER/S
2.
I vrt ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 ❑OTHER
WORK 11BLD. PLMB. ❑ MECH: ElM.H. ElPOOL
Required Set Backs in Feet
OWNER 1 `
North South
/ r
PHONE
3✓G'r�KJ
GAS
ELECTRIC
wv'i6v'�
Occupancy
Sprinklered
ADDRESS
of
utilities
❑Yes ❑No ❑ Req'd.
ZIP
Building Area in Sq. Ft.
CONTRACTOR
Single $
DWL Area
PHONE
Garage Area
Storage
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
4'
ADDRESS
Rancher
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ZIP
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
DESIGNER
No. Baths
No. Floors
PHONE
5.
—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
CERTIFICATE
ADDRESS
Recd.
Not Re(
ZIP
CHANGE OF USE FROM
TO
SEPA
6.
I vrt ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 ❑OTHER
WORK 11BLD. PLMB. ❑ MECH: ElM.H. ElPOOL
Required Set Backs in Feet
-
FEES COLLECTED
North South
East West
Size of Parcel
Zone Classification
GAS
ELECTRIC
Type Const.
Occupancy
Sprinklered
I
of
utilities
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
Single $
DWL Area
Basement Area
Garage Area
Storage
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Split Entry
Split Level
Rancher
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
21 ASO
No. Baths
No. Floors
No. Rooms
Rec. Room
—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
CERTIFICATE
Req'd. I
Recd.
Not Re(
of EXEMPTION
DESCRIBE WORK
1 Ft
-
FEES COLLECTED
8. y
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
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
21 ASO
performance of construction.
Plumbing
DATE '7 —2 SIGNATURE'S
—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
TOTAL $ Sy
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist
THIS BECOMES A PERMIT.
07-03-79
HATE (IFFY 101
PERMITgNUMBER
1 — ��
DATE
03* *55,50
*55.50
5.5:2
07-03-79
2 6479
5.65 *55.50°'