1979, 10-10 Permit: 79-5652 Plumbing Fixtures j4SLAN NUMBER APPLICATION/PERMIT ePERMIT NUMBER
ms"SPOKANE COUNTY — BUILDING CODES DEPARTMENT 10 ----7-1-- 6, -.2..
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
03 * * 48.00
JOB ADDRESS S_ LEGAL DESCRIPTION - SEE ATTACHED * 4 8.0 0
1. f /c--/ Xf o,f yr o`v,� o oQ '
LO
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * (I.8 0 0 Y
2 OWNERJPHONE E * 0'0 0 cn
3. O Co=A-Lga y ,/3 565. 1
ADDRESS ZIP Required Set Backs in Feet
/1 3 5S /G /411k,I /eV '79° 4-7 North 'South East 'West 1 0— 1 0—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. RICCIN'S PLUMBING2 6 4 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
RT. 2 BOX 213K-1 Dyes ❑No ❑ Req'd.
DESIGNER SPOKANE, WA. 99207 PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS Pit 1. 466 - 0741 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 ❑ OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK El BLD. ❑ PLMB. El MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. R.A.1414r iv S be- kr4-7z# K.i /
VALUATION Source( GAS ELECTRIC WATER SEWER
of
9. Utilities Single $
9 —
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 c'��c�
Plumbing
performance of construction. /, /
DATE c - 7 r SIGNATURE %''f'� H f O " -• Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA C)
I—
U
Planning — CD
Mobile Home Ci)
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities rf c
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ' THIS BECOMES A PERMIT.
DATE( iU 7 OFFIC 10'—'1079 65.2 ' * 48. 00aF-
1 -
APPRO r OR ISSUANCE