1979, 09-11 Permit: 79-3774 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ` — 5
•
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE / —d
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS04 * * 4800
1. 41 A / ivt., — ?Cf LEGAL DESCRIPTION — SEE ATTACHED *4 8 0 0 i-
LOT
y / OCK SUBDIVISION ( f PARCEL NUMBER/S
* 48,00 6
2.
Ont
R P ONE. E *0, 0 0 S
3. c.` _ (aA/(J:. . 1,�
ADDRESS ZIP Required Set Backs in Feet 3 7 7.3 2
North 'South East 'West 0 9- 1 1 -7 9
CONTRACTOR PRONE Q Size of Parcel Zone Classification
4. ' \ ! dl f-e✓ "rljeS - C 7?"- /O`fZ
2 6479.
Al DESS ZI Type Const. Occupancy Sprinklered
1?,d 7 : 7-y
y ' I- Y'< LVb
Les ❑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 ❑ ALT. ❑ AD'N. ❑ RPL. El MVE.
7. OF ❑ OTHER
WORK ❑ BLD. XPLMB. Cl MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DES 9IBE WOR `
8 rG tt,'1 {/ L- % 3 Z / -T62 ems` FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities 57/1c,
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 no .resume
to give authority to violate or cancel the provisions of any other state or loca I. egulating con- ru tion o' the 45,00
performance .f construction. / Plumbing
h
DATE SIGNATURE C� - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cc
SEPA O
Planning — w
0
Mobile Home
Fire Marshall z
Co. Engineer Other(Specify) -77 `l `
/r ivi i l
Utilities IS 2
TOTAL $ r (�(j.
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /// j�a/ y_.j THIS BECOMES A PERMIT. '
DAT EC/1-17- J` X //- 7`� _.j -7 i7 _
E� a/L.g./}/)
APPROVED FOR ISSUANCE _