1980, 06-04 Permit: 80-5385 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT Q PERMIT NUMBER I
SPOKANE COUNTY
— BUILDING CODES DEPARTMENT V o-s-m?c
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE June 4, 1980.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
., i ix * 4r L v
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. S. 5315 Van Marter * `� � '-'
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE L * Q, C '.1 P
s William & Barbara Smith 924-6984
ADDRESS
ZIP Required Set Backs in Feet 5 3 8: 3
E. 9004 - 44th, Spokane, Wash. 99206 North 'South East West f( _L 4_8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Miller' s Plumbing 483-2025 f 6 4 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
623 E. Liberty, Spokane, Wash. 99207 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I 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. Cl AD'N. ❑ RPL. ❑ MVE.
7, OFy�[ CIOTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK-•• ❑ BLD. PLMB. CI MECH: CI M.H. CI POOL
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. - - - Plumbing installation.
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 Plumbing 45.00
performance of construction.
DATE 6-04-80 SIGNATURE ". - �� '� / J
Mech.,
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
18 Fixtures @ $2.50 ea. + $3.00 fee
.nv. Health ce
SEPA o
W
arming U
0
Mobile Home Cn
ire Marshall
Other (Specify) 3.00
o. Engineer Fee
tilities48.00
TOTAL $
ne Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
PA Checklist THIS BECOMES A' PERMIT.
DATE /' OFFICIAL /z 0.6::_0 4 _8 0 i J 8, 5 '� * 4
8
, U U C r2R
APPROVED ISSUANCE —