1979, 07-03 Permit: 79-49 Lawn Sprinkler SystemPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUM��
DATE.��
03* *5,50
*5.50
482
07-03-79
G 6479,
DESCRIBE WORK
8
FEES COLLECTED
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
of
9. Utilities
JOB ADDRESS
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LEGAL DESCRIPTION — SEE ATTACHED
1.
.0 , / eq 4 6
g �
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
5'S!J
performance of construction.
LOT
BLOCK
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PARCEL NUMBER/S
2.
Plan Check
I
ISUBDIVISION
SEPA
Planning
OWN R
Fire Marshall
PHONE
Other (Specify)
Utilities
$d
TOTAL $
-1//D
3.
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
—
9
0 0 3 —'7 " 4 9 Z * 5, 5 0
DATE _ _ OFFICIAL
ADDRESS
ZIP
Required Set Backs in Feet
'
9?��A//
-11AQ
North South East West
CO TRACTOR
PHONE
Size of Parcel
Zone Classification
4.
A DRESF
ZIP
Type Const.
Occupancy
Sprinklered
�5 30
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
TZIP
DWL Area
I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW
1-1 ALT.
L1AD'N. El RPL. E3MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
11BLD.
X PLMB.
❑ OTHER
E:1MECH: ❑ M.H. 1:1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
PERMIT NUM��
DATE.��
03* *5,50
*5.50
482
07-03-79
G 6479,
DESCRIBE WORK
8
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
1 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
5'S!J
performance of construction.
Plumbing
DATE 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
$d
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
9
0 0 3 —'7 " 4 9 Z * 5, 5 0
DATE _ _ OFFICIAL
r1J I-