1980, 06-02 Permit: 80-5229 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITOP PERMIT NUMBER
• SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1. JOB ADDRESS42. 1 S S `44,14N l) 3 * * Q,5 V
LEGAL DESCRIPTION - SEE ATTACHED
* 40. 50
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 4Q5QS
OWNE PHONE
3. �2o7n �?��r
0_ [QM1W.L.) CtZte3-83VZ B * 0.0 0 S
ADDRESS-'23454(
� ` . ZIP Actual Set Backs in Feet 5 2 2 8
�}O ( ('�{4 i cN-rw 1Z•i4 North (South East (West
CONTRACT R PHONE Size of Parcel Zone Classification 0 6-0 2-8 0
d� ? 6 n
4' ADD✓g�/'/ I ZIP Type Const. Occupancy Sprinklered L 7 9.
�( C / � ( Yes No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
//i
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK
0 BLD. XPLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
-
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) t FEES COLLECTED
8. 155 \X+wre.S I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public El 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 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 co truction or the
performance of construction. EE 'EVERSE SIDE FOR REQUIRED INSPECT NS pc ubing /.S�
DATE OF APPLICATION 110 Z 4 SIGNATURE OF APPLICANTto-kr 4^0' Mech.
SPECIAL APPROVALS ' .ECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a
Planning CD
C.)
Fire Marshall Mobile Home J
Co. Engineer Other(Specify) b'
00
Cr_
Utilities
TOTAL $ W
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B Idi Technician PERMIT IS NONTRANSFERABLE i 0 0 0.J -
��4 ).> ��/�° 0 � -02�- 80 , 22,, z * 40, 50 �. 1-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL