1980, 10-09 Permit: 80B-1699 Plumbing Fixtures (PLAN NUMBER �•�
APPLICATION/PERMIT 1 I r'RMIT NUMBER
1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT / 0 5 « ,,,1
p1NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. , �' 03 * * 1 0,50
749 „` j 1.:: LEGAL DESCRIPTION — SEE ATTACHED
* 10.50 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 0.5 0
2.
OWNER f /-/, PHONE, A *0,0 0 8
3. A.73:5C" .>.,Sl i ,� s/k%�✓' 1 6 9.8 g
ADDRESS. � t / _ ZIP Actual Set Backs in Feet
/ North 'South East (West 1 0—0 9—8 0
CONTRACTOR ,T PHONE Size of Parcel Zone Classification
4. ,c>:. lv:- .k'�y Li-N.-A.(9' 6,479.
ADDRESS/,/ c'_ ZIP Type Const. Occupancy Sprinklered
./- ‘1. -- .0,0-‘0,-,..„-:- ,70uJ o2C, J Eyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
rJ. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW WLT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF S/ ❑ OTHER - s
WORK ❑ BLD. PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCR yy,0 t _ �� 1 Enum. Dist. Location (Area) t
��,J- / / C/� t -6(V-s FEES COLLECTED r
8. �Gf G`"- d yT/Lwf,/ �y�✓i',!°4y A`iLYr�T/n �-J;'}'/ 1/4, ���C?,"v7 y-j� 1
VALUATION SOURCE GAS ELECTRIC WATER WER USE CODE
Ownership
OF
9. UTILITIES Public ❑Private ❑ 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the --- —6
'
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
f
DATE OF APPLICATION
/C) --9:—_ �v SIGNATURE OF APPLICANT C_`__�+ /` Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>—
SEPA
Planning O
Fire Marshall Mobile Home
LL
i
Co. Engineer Other (Specify)'"'
Utilities / ��J-j
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ilding T icia n PERMIT IS NONTRANSFERABLE 9 0 w.o.V'm!8 ' o f
169, 9.2 * 10, 502o 1-'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL