1979, 07-13 Permit: 79-448 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 77
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE JI,ILy l3�lq`lq
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADD ESS
//1yy1�� �pn�Y�w -);r�r� LEGAL DESCRIPTION - SEE ATTACHED
LOT OCK SUBDIVISION V PARCEL NUMBER/S
2. 03* * 23.00
OWNER,
/ _----- t PHONE
3. V. --J40h,wC1? YL . , 47— 9?,g * 2300 V)
AD �ESS ZIP Required Set Backs in Feet 4 ,7
"7 , f / :/�/!L//V North 'South East (West
CONTRAC :474,,, ,S Size of Parcel Zone Classification 0 7— 1 3—7 9
4. DA/ J ek w//Z /67#
ADDRESS / c� Z Type Const. Occupancy Sprinklered 6 4 7 9.
5, 67/5' mL7rd.'/V O1 . (16 ❑Yes No ❑ Req'd.
PH NE ���� Valuation Building Area in Sq. Ft.
5. 17) V 2 S(55 .--Y '374,
ADDRESSZIP DWL Area I Basement Area Garage Area Storage
F 303D 111,'6 ,`Div 9' 1 "
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE
IVEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. APLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESOBIBE WORK c?8 c i x-}` iki-e ,s FEES COLLECTED
\LUATION Source P` GASELECTRIC 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 aws and ordinances governing this Building
type of work will be complied with whether specified herein or not. T • :n ing of a permit does not presume 'J'��.�s
to give authority to violate or cancel the provisions of any other state . . al law rlati co truction or the !
performance of construction. / Plumbing
, `
DATE 7f" 13'^79 SIGNATURE � L at — Mech.
SPECIAL APPROVALS SPECIAL ' • •ITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cc
SEPA o U
Planning w
a
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify) l
Utilities *� ,q,,-)TOTAL $ .V4/
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE, nn
SEPA Checklist THIS BECOMES A PERMIT. 4, 8 z * �� U �, a_ E
DATE OFFICIAL _ ll / 1. / / 7
APPROVED FOR ISSUANCE