1979, 11-13 Permit: 79-7735 Mechanical FixturesPLAN 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 s:
1. G(y LEGAL DESCRIPTION — SEE ATTACHED
TYPE
LOT
BLOCK
❑ AD'
❑ RPL. ❑ MVE.
PARCEL NUMBER/S
2.
ISUB'DIVISION
I
E] OTHER
OWNE
1-1PLMB.
MECH:
RHONE
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
8
of EXEMPTION
3.
D,E,y RIB
R
FEES COLLECTED
ADDRESS1�-
Required Set Backs in Feet
�
3 a
�
North South
East West
V-C"TRAC�
P ON /
Size of Parcel
Zone Classification
4.'
AD RESS
LZS�IPP >
Type Const.
Occupancy
Sprinklered
/ / L,�,"7
Dyes ❑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.
No Baths No
Floors
No Rooms
Rec Room
TYPE
❑ NEW
❑ ALT.
❑ AD'
❑ RPL. ❑ MVE.
], OF
E] OTHER
El BLD.
1-1PLMB.
MECH:
❑ M.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
D,E,y RIB
R
FEES COLLECTED
VALUATIONSource � 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
performance of construction. Plumbing
DATE
DATE / �— / 3' / SIGNATURE,)"_�v, Mech.—
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIALD
CONITI NS:
21 0
. ..... ILL,
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $'
PERMITNUMBER
(? I 19 - _I-35
DATE
04* *1200
* 1 200 v>
*12001
8 *000 o
77342
11 -1 3-79
R 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COMES A PE MIT.
,. -13'-7 773.525
*_12.00 00 Fj /