1979, 11-06 Permit: 79-7398 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ;IV
�� ;`'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /O"L
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES C 3 * * 2 8,0 0
JOB A RESS LEGAL DESCRIPTION - SEE ATTACHED * 2 8 0 0 N
1 LOT BLOCKK SSUBDIVISION 0 E � PARCEL NUMBER/S * 2 8 0 0 6
2.
B * 000
3. O j (� t 004 5 41PHONE 7 3 9.7
ADD ESSZIP Required Set Backs in Feet
3tf Z 7 North 'South East (West 1 1 —0 6-7 9
C T A TOR p PHONE Size of Parcel Zone Classification
h�e4 -- -TOweic - Itn-p 1 3u -3Zoo -� 6 4 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
1324 Aih 45k Oyes ❑No 0 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 ANEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK
El BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. i® F- x_/,_re. FEES COLLECTED
Tit ..-
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 ;ranting of a p' mit does not presume
to give authority to violate or cancel the provisions of any other st,• or pcal law regula g construction or the /0 25.9
performance co struction. if L L, / Plumbing
DATE SIGNATOR'_ • t Mech.
SPECIAL APPROVALS SPECIAL CON•ITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health c'
SEPA `D
Planning — a
wQ
Mobile Home `)
Fire Marshall
iFi ...., =
352=.
Co. Engineer Other (Specify)��(
Utilities TOTAL $�— -t/
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist f -7_• i/ THIS BECOMES A PERMIT. C
r 1. v , i
DATE OFFICIALIV7':,�� ,.'-. u`t�" i
APPROVED FOR ISSUANCE -