1979, 10-19 Permit: 79-6340 Plumbing FixturesI PLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
-
DATE
03* *33,00
*33.00 f,
*33.00"
E *0,00 "
633.96
10-1,, -79
6.[79
DESCRIBE WORK
8. / FEES COLLECTED
VALUATION Source GAS 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 al law r ulating cons uction or the —
performance of construction. Plumbing
DATE 10-17-77 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 06
TOTA L $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE/�,� 1 _ i n 7 CI
' ✓�� OFF I _.1.... -` 1 6 i 4. 01
* 5 3.0.6'.°
APPLICANT: COMPLETE NUMBERED SPACES -
PRESS HARD TO MAKE 4 COPIES
1.
JOB DRESS
� �S 7,-514 Drl`ae-
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNER
PHONE
3.
ADDRESS
ZIP
Required Set Backs in Feet
North South
We
East st
CO RA TOR
P ONE
Size of Parcel
Zone Classification
J,
4.
A D S
IP
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
^
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.
TYPE ❑NEW ❑ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD. 1:1PLMB. ❑ MECH: ElM.H.
F-1POOLCERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
PERMIT NUMBER
-
DATE
03* *33,00
*33.00 f,
*33.00"
E *0,00 "
633.96
10-1,, -79
6.[79
DESCRIBE WORK
8. / FEES COLLECTED
VALUATION Source GAS 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 al law r ulating cons uction or the —
performance of construction. Plumbing
DATE 10-17-77 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 06
TOTA L $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE/�,� 1 _ i n 7 CI
' ✓�� OFF I _.1.... -` 1 6 i 4. 01
* 5 3.0.6'.°