1979, 08-29 Permit: 79-3016 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT f PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT - 30(ce.
, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JO tl\kct\--\c/LA\K LEGAL DESCRIPTION — SEE ATTACHED 03 * * 30,50
err
3050
T BK S�p)ylIONPARCEL NUMBER/S *30.50 n
2. vv�� Pn�l * 3 Q 5 0 0
OWC.1
3. _ co -� ') o
ADDRESS ZIP Required Set Backs in Feet
A
^ /� North 'South East (West 301.5 R
CONTORkiN\NS ( I ' 'PH E Size of Parcel Zone Classification 08-29-79 8-29-79
CtDvQ-11412
4' 55 * Type Const. Occupancy Sprinklered B 6479.
AD
`� � q Ikl
Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE
EW El ALT. El AD'N. El RPL. ❑ MVE.
7. OF ❑ OTHER
WORK CIBLD. YPLMB. 1=I MECH: ❑ M.H. CI POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
VVVV ���` of EXEMPTION
R
S IBE WO
I
E� 118. �� _t.Ir1V�(Y .�J( lrrl/� W FEES COLLECTED
VALUATION Source 6 GAS EL T IC 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 does not pr sume r.-"e%
to give authority to violate or cancel the provisions of any other state or local law regu ting construction o the ___),
perfor ance of construction. Plumbing
DATE `J �'� Sr-%� i�"' _ lJe:� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA
Planning
r,
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
��� e.��--
Utilities TOTAL "`r
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /d� _ THIS BECOMES A PERMIT.
DATE? OFFICI• V ,--..-€--*--- 0 " -2979 30L6z * 3 0.5
EPR ISSUANCE