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HomeMy WebLinkAbout1979, 08-08 Permit: 79-1756 Plumbing Fixtures FLAN NUMBER APPLICATION/PERMIT a PERMIT NUMBER I SPOKANE COUNTY — BUILDING CODES DEPARTMENT - 17�� .p NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE c ` APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 3 �3 Q 50 JOB ADDRESSy-./ LEGAL DESCRIPTION — SEE ATTACHED * 30,50 i LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. A *000 0 O fL�RU- U ! L `–erACS PHONE 3. 17S5 i ADDRESS aZIP Required Set Backs in Feet 08-08-79 � r _t- North 'South East 'West C NTRACTO,g%�~ _ PONE U Size of Parcel Zone Classification f 6479, 1T.!3- /4� Felt,r(.5 es -. ft //'g`-1e tc 4. ADDRESS// �) y ZI g Type Const. Occupancy Sprinklered lL lie G' 7 l--' _. Tr A.t' ! .c.'06, ❑Yes ❑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 K NEW D ALT. D AD'N. ❑ RPL. 0 MVE. 7. OF ❑ OTHER WORK CIBLD. �PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DE IBE,,'W� 9ORK / • FEES COLLECTED 8. rt j,41,7 c At' ti l VALUATION So ce GAS ELECTRIC WATER SEWER 0 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 n. *resume to give authority to violate or cancel the provisions of any other state or local aw regulating co' ruction . 27. SC performance of construction. •lambing . -DATE � /z/7SIGNATUR �[ cMech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health "c: SEPA i Planning — n Mobile Home n Fire Marshall /� Co. Engineer Other (Specify) (fC1 Per . 'I- Utilities TOTAL $ 3 U Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. © iii DATE 08 - 08 -79 i. 75, 6z �- ' *30, 50a/ OFFI � � APP'! * FOR ISSUANCE I