1980, 02-15 Permit: 80-1246 Piping •
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER i
•
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE Z/ 5/F0
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 0 tt * *6 0 0
1. i4Cs<<i 5 NA .P LEGAL DESCRIPTION — SEE ATTACHED *b,Q 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 6008
OWNER PHONE
3. C6..A ..,/,,A) KAM y24-Zia E * Q.Q Q
i
ADDRESS ZIP; Required Set Backs in Feet 1 2 Q,5
E 4Otg SRAe? `I IZt4O North 'South East
CONTRACTOR PHONE Size of Parcel Zone Classification(West 0 2— 1 5—8 0
4. W. �,,i,�P. .c 6479,
ADDRESS ZIP Type Const. Occupancy Sprinklered
Elves ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area r Garage Area Storage
CHANGE OF USE FROM TO , Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE . ] NEW El ALT. ❑ AD'N. ❑ RPL. El MVE.
7. OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK
I=1 BLD. ❑ PLMB. 1X MECH: CI M. ❑ POOL CERTIFICATE
of EXEMPTION ,
DESCRIBE WORK
FEES COLLECTED
8. i:N-;tALL. 40' c� (Irv) •P,►�,wc;
VALUATION Source GAS ELECTRIC WATER SEWER 4
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 c nstruction or the
Plumbing
performance of construction.
g ,
DATE ii—Te/i' /:S �i bSIGNATURE ge_ Z.2-9.-, Mech. 6.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
I--
Planning U
u-i
2
Mobile Home `n
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities
TOTAL $ (-)•
Zone Clearance •
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ) { THIS BECOMES ApPE�RMIT. I ( [ (�
DATE 2/4,,1£x1 OFFICIAL ..//ejf 0 L 1'5 8T0' 1 2 `t 6 z * 6, 0 0.2 (-
APPROVED FOR ISSUANC —