1980, 10-17 Permit: 80B-2158 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRF -SS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT K UBDIVISION PARCEL NUMBER/S
2.
OW`RP ONE
3. C—" -e _4PC�
ADDRESS /y-�i�/� ZIP Actual Set Backs in Feet
c�T�' • ` F— North South East West
CO NTRACTq#2_Z) f j Ir P ZN�E� �jj � Size of Parcel Zone Classificati41
on
4.
SPECIAL CONDITIONS:
NAME DATE
ADD ESS/
Z1 -P
f ''
Type Const.
Occupancy
Sprinklered
1 O 1-Y /(�
q 7s,
._��1.i�1"�iyfr.�
Planning
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
n
.---
Co. Engineer
Utilities
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
I
TYPE AD'N. ❑ RPL. ❑ MVE.
❑ NEW ALT. ❑
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK ,(�
8 tA�'__- / (..1�2j�� j
�'
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑ Private ❑
Single $
I hereby certify that I have read and examined this application and have read the
"NOTICE" ded
on reverse side, and know the same to be true and correct. All provisions Of law
r 'nances rning t
type of work will be complied with whether specified herein or not. The gra in er I does not resume
Building
to give authority to violate or cancel the provisions of any other state or loc I I
v regula g the
performance of construction. SEE REVERSESIDE FOR REQUIRED INSPEC
S
PI mbing
P
Mech.
DATE OF APPLICATION Com` SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
_
%`Q/ 4)
Env. Health
q 7s,
._��1.i�1"�iyfr.�
Planning
/
.- a
Fire Marshall
n
.---
Co. Engineer
Utilities
��
Plans Examiner
Iding T hni n PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ s
PERMIT NUMBER �+�ry
OQ10—a2,1cJ d
03* *13.00
*13.00
*13,00
A
21 5.7z
10-17-80
6.4 7 4.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
n 2 15.8 0