1979, 10-10 Permit: 79-5686 Sprinkler System PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER i
G
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7 ~� `��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /d ._fid __7 7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 3 * * 5 5 0
J ADDRESS
l I /•2 i //te' /L t el..�,1e.,:ii &t„(,t,--u LEGAL DESCRIPTION — SEE ATTACHED * S 5 0 tii
LOT BLOCK SUBDIVISION PARCEL NUMBER/5 *5.5 0 6
2.
o.."14, R PHONE E * 0 0 0 U
3. A� y1.�% �, 9 ---/Y9 5 6 a 5 2
DDRESS / 9j �4a,e&ee ZIPRequired Set Backs in Feet r�
/& V`11)L���r� giejlt /0/7t CCA-L 99
7 North 'South lEast 'West 1 0- 1 0-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
COV
4 1, (,),(0--L , 0-.�c`. Ct ,-.7.2-ye/D- 2 6 4 7 9.
.
ADRESS z 1p ,r ZIP Type Const. Occupancy Sprinklered
; .1%5/4-5 J) _. . ��%�YIYA�(./4i� ci ci" A Is,- Oyes ❑No ❑ Req'd
DESIGNER PHONE Valuation Building Area in Sq. Ft. 'i'
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I 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. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. XI PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
i DESCRIBE WORK
FEES COLLECTED
8. ) ifC-tA.L 4,G1 V 1 1.1TiaC-- " •.:),/-1.41 -VALUATION Source GAS A 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 ,y
to give authority to violate or cancel the provisions of any other state or I al law regulating construction or the 7/".4-
performance of construction. 1 f Plumbing
DATE/0"//' 7 `'f SIGNATURE w/4j' Aa d I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
0
SEPA C
1-
Planning —
Planning — Cu
C
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities ,ism
TOTAL $ V
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMESAPERMIT.
1 U —'1 79 J U 8,V
* 5. 5'0 d '
DAT V; OFFICIAL1?1 lI� C Ci
APPROVED FOR ISSUANCE -