1980, 12-18 Permit: 80B-5000 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMITrNfi'uMBER d�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT f
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE AR - 14 - 80
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS Ci 3 . 0 t.'
S.3o1 Via-,
7,14 _ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 0 C to
2. * 38QQY
OWNER __,‘„ PHONE
3. /arc./e ,,S �cOg AS, CIDA.75 P * 0 ,
ADDRESS ZIP Required Set Backs in Feet a g 9 O c
North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 - 1 8-8 Q
f /v oi- Il f, &s c, b' ..4.//73
4'
ADDRESS /��/ �i yQ �7,P��J II�� Type Const. Occupancy Sprinklered 6 G-7 9
./ 5i / Olt f^y i `y ! ? D3 / ❑Yes ❑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 0 ALT. 0 AD'N. ❑ RPL. 0 MVE.
7. OF �� CIOTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. IE7 PLMB. Cl MECH: CI M.H. ❑ POOL
¢F�} of EXEMPTION
DES BE RK
8. E /+ 9)1.3 /X7/44985�� 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 '256)
;�c
Plumbing
performance of construction. '
DATE A? " /a_ E 0 SIGNATURE 1(2A-/)‘-'4040
....44.40C../4Mech.
e
SPECIAL APPROVALS SPECIAL CON ITIONS:
DEPT. REQ'D. REC'D. ,_�,.-. t Plan Check
Env.Health, 3- I r of
4^ -MLA,- SEPA 7
Planning 3/,p,w...-4-►03 -
0_
AnA
Mobile Home
Fire Marshall r/
Co. Engineer /"" V,/�SOther(Specify)
Utilities i i_s N�4 i
/' pI/`w a TOTAL $ •35,
ierV
Zone Clearance /�.5Z f{/kAJ1 4 p f
WHE ,MACHINE,VALIDATED IN THIS SPACE,
THIS. CQ IA, MIT. [ (y d, *310021:j.
Q (� J
SEPA Checklist 7� 1 1�,;J.r•'.!6 5 O 1,U 2' *30,.0 0 2 1..
DATE/'Z/y/ OFFI •L ��0/ i 1" _
APPOVED :• ISS ANCE -