HomeMy WebLinkAbout1980, 04-18 Permit: 80-3666 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMrT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT g o —`36 (°
NORTH 811 JEFFERSON / SPOKANE,'WASHIi1GTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES C 3 * * 1 0 5 0
JOB ADDRESS
1. '�]/�, D/4 "0,4-44---‘644-a4
,�-�- jc -4 LEGAL DESCRIPTION — SEE ATTACHED * 1 0 5 0
LOT ie
BLOCK SUBDIVISION PARCEL NUMBER/S * 1 0.5 0 6
2. I co
0 NFR PHONE E * 0.0 0 L'
3. i _ .,,L1it _4..r4mr._:.. e a - "77 f 3 6 6.5 2
A•DRESS .may/� /� ZIP Actual Set Backs in Feet
�i /df //� ei.if�Q. _ � '4- , g9Z6 North 'South East IWest 0 4— 1 8—8 0
C TRACT R PHONE Size of Parcel Zone Classification /
'AA�i �tiG ;I-. o=S glia 6479.
4' yyyDDRESS. / 7 > 9
ae ZIP Type Const. Occupancy Sprinklered
6 Z.Z / . �C '77 Zv 7 ❑Yes ❑No ❑ Req'd.
DESI NER 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
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. NZI. PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE CRIBE WORKIltz Enum.Dist. !Location (Area)
8 � -414 _p `� 3:.......:A
�f � 1 FEES COLLECTED
VA UA ION SOURCE GAS ELECT IC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public CI Private 0
__._ i 1 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 local law regulating .nstruction or the # 6-6
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECT! NS Plumbing id
t
DATE OF APPLICATION 'Tt mare.)Oe.) SIGNATURE OF APPLIC ��� r J Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /
NAME DATE Plan Check
Env. Health
SEPA n_
Planning j
— u..1
Fire Marshall Mobile Home ___1
Co. Engineer Other (Specify)
Utilities ,,
TOTAL $ 141 ------
Plans
—Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ilding Tec nicia PERMIT IS NONTRANSFERABLE 0 4.--,1 '—
;;1 8'. '$ 0 5{) 6.6 °z * 1 0.5 0..°. �' _
."l' i az PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL