1980, 12-15 Permit: 80B-4847 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
0 / SPOKANE COUNTY — BUILDING CODES DEPARTMENT.
a ` l;/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
03 * * 30. 00
JOB AD SS «T^�
1 �i 0 / �e. pe f, LEGAL DESCRIPTION — SEE ATTACHED * 3 0,0 0 �
LOT BLOCK SUBDIVISION L•f PARCEL NUMBER/S *, 3 Q O O G
2.
p P. •NEA * 000 8
3. AeA1ll E'LCezdU rii4• '1. 01C;)/0 484.6
ZZJ, Required Set Backs in Feet
ADD `s/� to [Ai� � hat� ' )t78
North South East West 1 2_ 1 -8 0
CO RAC
(1OR °� P Size of Parcel Zone Classification
o
Let
4' ADQ�IES r� v ] Z/Iy�,�//� Type Const. Occupancy Sprinklered
LJ , ( V M e I ✓ p / /5i/4 ❑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 Er. —
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF El OTHER
l LD. IP
WORK LMB. ❑ MECH: ❑ M.H. CI POOL CERTIFICATE Req'd. Recd. Nqt§Yeq'd.
of EXEMPTION
8 p✓gC,j4itE VylOpII I I i?<'d K� 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 loc law r:.ulating construction or the .36:00
performance of construction. Plumbing
fJ/
DATE/s J/y ' (I F SIGNATURE / +� 1' f
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. 4 Plan Check
Env. Health N
- z SEPA
C.: w
..a U L1 0 n-
Fire Marshall yj 0 = 14 N H A i� Mobile Home `�
N JJ J ¢¢tt J ,IJ fa
Co. Engineer ...4 c.c� .1.30 0 0)
1Other (Specify)
; i 1 W H $ 4
Utilities cq cq ..r .-4 .—+ .-+ .—+ .-1 ...
TOTAL $3'OtNCJ
Zone Clearance
• WHENMACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 7 r• THIS B CO A ERMIT.
DATE /,./.75 0- ICIA`—� - ii'` ,t0 48472 *3Q00 � I-
A i►ED FOR ISSUANCE —