1979, 10-24 Permit: 79-6605 Plumbing Fixtures (PLAN NUMBER APPLICATION/PERMITP PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 79-66o`
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 ' 7c7
DATE i'd"
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS �f 03* * 43.00
1• i; /��d `1/0161) �,4 LEGAL DESCRIPTION - SEE ATTACHED * 4 3.0 0 n
LOT BLOCK SUBDIVISION r PARCEL NUMBER/S * 4300e,
2.
OWNER IL PHONE E *O O O V
3. .�ari./t. ., -.:M.. 4,T aeex, `1:2-&-72'h
ADDRESS>/ / / i ZIP( // Required Set Backs in Feet 6 6 0,4 2
, - /(!I O�� I/�' 6-et )
j���e � q!,//6 North South East West 1 4
0-2 /, -7 9
CO TRACTOR PHONE Size of Parcel Zone Classification
a. . -'1,-.1/LL.. 2 6 4 7 9.
ADDRESS Zip Type Const. Occupancy Sprinklered
al,izfy �Q, ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area !Basement Area 1 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 El BLD. N PLMB. ❑ MECH: El M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE FRIBE W,O�RK ��� FEES COLLECTED
8. Al., L-CCfi/L��/ 4442, �� / . '_t�,� .1�_.c��i'
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 ,K/ D�
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the r/ __._
performance of construction. Plumbing
DATE/ —02 Tc/"— 79.
SIGNATURE N elf/f_ ,a# l'Ai . Mech.
•i ilir
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA cc
I-
Planning I—
U
— w
Fire Marshall Mobile Home c
—
Co. Engineer Other (Specify)
Utilities ' - C,U
TOTAL $ .. .----
Zone Clearance .
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ` THIS BECOMES A PERMIT.
DATTE�4_7/ OFFICIAL �/ t,�/L R /v� ��/� — I
��-t 0,-2 4'-'79 6'60. 52 43.00° �
APPROVED FOR ISSUANCE _