1980, 11-07 Permit: 80B-3455 Plumbing Fixtures PLAN NUMBER ,.-
APPLICATION/PERMIT IEeRMIT NUMBER
s-0/ SPOKANE COUNTY - BUILDING CODES DEPARTMENT I e015 _ 3 ss-
0 I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0
0 8, 0
i1. G/.S� LEGAL DESCRIPTION — SEE ATTACHED U3 * * 2* 2 0
rri
LOT OC SUBDIVISION PARCEL NUMBER/S
2. • * 28006
OWNERPHONE
3. CIL. A * 0 0 0
ADDRESS ZIP Actual Set Backs in Feet 3 4 5 4 2
North !South
4. ' East (West
CONT CTOR �
PHONE Size of Parcel Zone Classification 1 1 -C 7—8 0
/�� �/�iY/ d 6479.
ADDRESS
�y m� ZIP Type Const. Occupancy Sprinklered
/,J€li 3 LZ-1i,( / 7 liY� Oyes ❑No 0 Req'd.
DESIGNER 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
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 1:1 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. IO uI FEES COLLECTED
VALUATION SOURCE G S ELECTRIC WATER SEWER Ownership USE CODE
OF Y
9. UTILITIES Public 0 Private 0 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 construction or theZ. �t
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ��. Plumbing
DATE OF APPLICATION /////eFESIGNATURE OF APPLICANT, r���4r10rLZ-C® � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEy���t� Plan Check
Env. Health L.n-v G / Cc) /4
y- y
G.G+� SEPA
Planning ` /� • ! 5 Wou /e/ - J
i
Fire Marshall / 5 //12)4, l 47 G1,(a' Mobile Home �
ti
Co. Engineer 2. L Other(Specify)
Utilities >-
CP
TOTAL $ ecd Cay
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu-din. echnician PERMIT IS NONTRANSFERABLE d * O J -
/r-),. f !//7/ems EIS=4 ?-8'0 3i4 �,5Z 28.00a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
J