1980, 12-10 Permit: 80B-4723 Plumbing FixturesPLAN NU`BER
' APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
JOB ADDRESS
East 6815 - 5th Street
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
William Coleman
PHONE
922-4059
PARCEL NUMBER/S
ADDRESS
East 6815 - 5th Street
ZIP
99206
Actual Set Backs in Feet
North (South East 'West
CONTRACTOR
Martin's Plumbing Company
4' ADDRESS
E. 14313 Trent Avenue, Spokane
DESIGNER
5.
PHONE
924-9057
Size of Parcel I Zone Classification
ZIP
99216
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW ❑ ALT. ❑ AD'N. C RPL. ❑ MVE.
❑ BLO. DCPLMB. ❑ MECH. ❑ M.H. ❑ POOL
E OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Plumbing
VALUATION
9.
6 fixtures
Enum. Dist. I Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public D Private ❑
USE CODE
I hereby certify that 1 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 construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION Dec. 10, 1980 SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Tec .ician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 18 00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 18.00
PERMIT NUMBER
8c35 -4-7-e-5
63* *1800
* 18.00 tri
* 18006
A *0.00
4722
12-10-80
z 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
121710-,8 47232 *I8,0Oa
�
DATE ISSUED PERMIT NO. TOTAL