1979, 10-19 Permit: 79-6342 Plumbing 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
JOS-ADDRESS
�� LEGAL DESCRIPTION - SEE ATTACHED ,Vog
LOT BL CK SUBDIVISION I PARCEL NUMBER/S
U
PHONE
3. rme o
AID/ESS
I
ZIP
Required Set Backs in Feet
North South
East West
CO RA TOR
PHO E
Size of Parcel
Zone Classification
4.
A SS
ZIP
Type Const.
Occupancy
Sprinklered
[-]Yes ❑No ❑ Req'd.
5'
PHON
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry Split Level
Rancher
6.
TYPE XL NEW 11 ALT. ElAD'N. 1:1 RPL. 1-1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF ❑ OTHER
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK ?I BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
8 DEs�y IBE wqR� /� X rf�
/
FEES COLLECTED
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 gra .ng of a permit does not presume
3?
to give authority to violate or cancel the provisions of any other state or I al aw reg lating constr ction or the ---
��
performance of construction.
Plumbing
DATE l�/"SIGNATURE_
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
L
�
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist 7 /
THIS BECOMES A PERMIT.
1 E
nnrc/L /J7nGFir ��-"
iJ
PERMIT NUMBER --j
DATE A0 1 17f
03* *40,50
*40.50
*4050
E *000
63G 1
10-19-79
9 6.479.
IN THIS SPACE,
Q r *4(1.5 �in