1979, 08-06 Permit: 79-1604 Plumbing Fixtures (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
l+ SPOKANE COUNTY — BUILDING CODES DEPARTMENT p 7 1— /C s 4
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
x DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. 041:71s ear ,S LEGAL DESCRIPTION — SEE ATTACHED
LOT BUCK SUBDIVISION PARCEL NUMBER/S
2. 7 i� _P o Ali)e4 4
OAVER P±IONE
�/J
03 * * 30.50
3. /14z, ,d7 e.ec 3 : . y.y 'f''L7'�
ADDRESS ZIP Required Set Backs in Feet * 3 0 5 0
North (South [East (West * 3 Q 5 0 6
CON RACTOR PHONE Size of Parcel Zone Classification
S'/9..tl6 E * 0.00 8
4' ADDRE /�/// //,1 ZIP Type
Type Const. Occupancy Sprinklered
[�L..�O i &-t-G�-� (/` yb.Z/7y ,Z ❑Yes No ❑ Req'd. 1 6 Q 3
DESIGNER / /yam PHONE Valuation Building Area in Sq. Ft. 0 8-0 6-7 9
5. /�/�,/" ,-,? 2 Z 7 -A, -c_e Com" . e/7 -4S'
ADDRESS ZIP DWL Area Basement Area Garage Area Storage R 6 4 7 9.
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPENo. Baths No. Floors No. Rooms Rec. Room
KNEW ❑ ALT. ❑ AD'N. El RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. kPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRIBE WO
8. AC (,r.i f L Li';l /"1-)4 // eiFEES COLLECTED
VALUATION Source GAS ELECTRIC 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 laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit ..es not presume
to give authority to violate or cancel the provisions of any other state or loc.. law regul. ing ".nstruction or the ,/...15!
performance� V P' 'of construction.
/ / Plumbing
DATE / '21 SIGNATURE!' A. .ia- ', A i�c_.
i.- Mech.
SPES. APPROVALS SPECIALOONDIT .NS:
DEPT. REQ'D. REC'D. Plan Check
•
Env.Health
SEPA
v
Planning w
a_
Mobile Home rn
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $ 3o---
Zone
--Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS- COME A E.�CMIT.
LI - % 1. 6O. 4 * 3a50 ,x1=
DATE OFFICIAL
APPROVED FOR ISSUANCE