1979, 09-24 Permit: 79-4543 Sprinkler System PLAN NUMBER APPLICATION/PERMIT to
PERMIT NUMBER �
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 9-21-79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 3 * * 5 5 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 5'S 0 `�
1. N. •.8 University * 5 5 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/So
2. E * 0.00 8
OWNER PHONE
3 Jean Musgrove 926-0509 4 5 4,2 2
ADDRESS ZIP Required Set Backs in Feet
North !South East (West 0 9-2 4-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification 2 6 4 7 9.
Rain-Matic Sprinkler 926-9508
4. ADDRESSIP Type Const. Occupancy Sprinklered
N. 527 Barker Greenacres, WA 59016 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 ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF ❑ OTHER
WORK 0 BLD. ❑ PLMB. ❑ MECH: ❑ M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
g. Sprinkler System FEES 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 does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the 5.50
performance of construction. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
rY
SEPA
I—
Planning — i)
1_
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities 5.50TOTAL $
Zone Clearance
Ikk ....._ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist II//`` /� / THIS B OMES PERMIT.
DATE9 � /�OFFI�• ��l s�' • _ �� � Pr
4 5 4. 3 *5.5 0 2
APPR."'�11 FOR ISSUANCE —