1980, 07-11 Permit: 80-6970 Plumbing Fixtures PLAN NUMBER /° /'/ie
APPLICATION/PERMIT /tl PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT An.- C`f70
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS / 574 ll 0 * * 2 8.0 0
1. I.P.t��v — LEGAL DESCRIPTION - SEE ATTACHED
* 28. 00 V)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 28006
O NE c3. P ONE E C v 0 v
ADDRESS 1ZIIJP/, Required Set Backs in Feet 6 9 6 9
. "// . i ,1 /% c '''6 6 North 'SouthEast (West 7_ -
8
0
CONTRACTOR ���a PHONE Size of Parcel Zone Classification
4. J4Cdi/ 1 1
s 2 6479,
ADDRESSZIP Type Const. Occupancy Sprinklered
iv, v�`J � / e/yy/t '7e9'6 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation
09Valuation 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 D ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. XPLMB. ❑ MECH: ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/////```"����� of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8. /0 F/r74,ee-s
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 regulating construction or the Zoad
performance f constructi
/ioon. / Plumbing
DATE �� d" . SIGNATURE 'SNSMech.
SPECIAL APPROVALS SPECIAL CONDI + :
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA cD
I—
Planning U
— w
a
Fire Marshall Mobile Home v)
Z
Co. Engineer Other (Specify)
Utilities Z
TOTAL $ .$`(96
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
=PA Checklist THIS BECOMES A PERMIT. (� 7 ( R (�DATE YOUOFFICIAL ` - 0 i'—a I..-8 J . 6 7 1, U � * L 8. O U d P-
APPROVED 0 ISSUANCE