1980, 11-18 Permit: 80B-3866 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT 'E
iRMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ��� � ��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /'2/p4- 1,getlit- 0j,„e57 - LEGAL DESCRIPTION — SEE ATTACHED c. 3 * * 2 5 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 2 5 5 0 in
2 OWNS /� PHONE * F c
3. c �E r /er///d'.4 i i a * O.0 C.
ADDRESS ZIP Actual Set Backs in Feet
8 � o
d4.O 9 'e1/�Q North 'South East 'West 6 5`�
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 - 1 -8 0
a. NA(11 s , Th.( b 1,v5 lis,-.5:3y 7
ADDRES _ _ ZIP Type Const. Occupancy Sprinklered
�0?47 er v 'o`/ i L/O 75.2.6,7 ❑Yes ❑No ❑ Req'd.
DESIGNER / PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
EW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF / ❑ OTHER
� -
WORK BLD. PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRIBE
EWWOR / ` Q ,� Enum.Dist. Location (Area)
8. �iS�s/V/ �jl�j /7 //me- 4kc/e/e C'CWS, ' I FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0 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 /` es'
Building l IP
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 X75-,00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing �c
DATE OF APPLICATION // /�—irU SIGNATURE OF APPLICANT Ze-d-er Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA z
Planning C
-
Fire Marshall Mobile Home w
u_
Co. Engineer _ Other (Specify) 3 .�.Af
Utilities V`=
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildi echnicia / PERMIT IS NONTRANSFERABLE l'llt,�8'480 3'$ 6.6z' 7 8.0 Q + H
////�� 7/ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL