1980, 04-07 Permit: P80-3154 Plumbing FixturesPLAN NUMBER
11.
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.
LOT
2.
BLOC
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
322/
SUBDIVISION
se/
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
3. da-aaz‘
DDRESS Rielt
.3'7,02/ 04CiallsV
CONTRA ✓L/ `fy}
4. "'�
ESS
PHONE
4-34'004
ZIP
IGC
Uaszhaeze
-
DESIGNER
5. ADDRESS
6.
PHONE
9.2 ".Z4 de,
ZIP
97427
PHONE
Required Set Backs in Feet
North 'South [East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
TO
DWL Area I Basement Area r Garage Area
Split Entry
Split Level
Storage
Rancher
TYPE
7, OF
WORK
8.
9.
0 NEW
0 BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
Ly�PLMB. 0 MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Source
of
Utilities
AS
ELECTRIC
WATER
SEWER
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
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
performance of co struction.
DATE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
y/
DATE r/OFFICIALH4
FEES COLLECTED
Single $
Building
Plumbing
Mech.
4
De
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
DATE
P
PERMITFNUMBE'ft
&) -3tSL(
411,/80
* *POO
* ri, 0 0 C
* 0 0 0
153
0%-07-(J0
: 6479.
1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS ECOMES /jPERMIT.
0 7
1 5:4 5
* 8 0 0CL
INCPFCTfR