1980, 12-09 Permit: 80B-4614 Plumbing Fixtures IPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
I 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1 I goi3---- 4-G 14-
�� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS t-' 3 * n 3 r ^'
1. 6, [97? `� 6 A,AL Or LEGAL DESCRIPTION — SEE ATTACHED '
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * E0C ..
OWNER PHONE
3. Toiledittl * ' C ..
r>
ADDRESS ZIP Actual Set Backs in Feet 4 6 1. 3 :-
North 'South East West
CONT TOR PHONE Size of Parcel Zone Classification ! t' - v C'-a. 0
44 L, C°pt4- ' 9a -7Y-116' ( 1L ?9,
4' ADD/R/E�SSS [ 1 `� ZIP�y"�/ /� Type Const. Occupancy Sprinklered
/ V! 26 E. . ! LrrL�-I �[/ r. 6 / (J4. Oyes ❑No ❑ Req'd.
PH NE Valuation Building Area in Sq. Ft.
ADDRFAS 0, VVx 1 0?g ZI79.7W Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
TYPE ,,��.,// No.Baths No. Stories No. Rooms No. of Dwellings
LXNEW 171 ALT. ❑ AD'N. ❑ RPL. D MVE.
7, OF // '' 0 OTHER
WORK 0 BLD. XPLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area)
$ /4� y e;X 1 iKr�.� FEES COLLECTED
]' /' T l
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES Public 0 Private 0
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 lating construction or the
:7Y 03
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO L Plumbing
DATE OF APPLICATION / R >/� , //DSIGNATURE OF APPLICANT V i� i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEPlan Check
Env. Health -/ () id 5
/� SEPA >-
Planning -/ �vy '' O
./
Fire Marshall g.— /G,t:r. Mobile Home "1
i%
Co. Engineer / 5 let_e.0 e..-*I" Other (Specify)
Utilities / KI-1' °'
"'k
6 a C1o, N-/it TOTAL $ ��
Plans Examiner
/ 0M-6 k I-r WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / be- att.
A �1 t.Ie �. fel/ il,,cr e ri THIS BECOMES A PERMIT.
Buil ung chnia n f VPERMIT IS NONTRANSFERABLE l2Q9 -'8`0 J414d3 & ,
3 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL