1980, 06-09 Permit: 80-5495 ACPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99268 / (5091 A5636I5
APPLICANT: COMPLETE NUMRFREDSPACES—PRFS£HAHDTOMAKF 4CDPIFS
J UG6D3 -
g -x
,.
O
B K
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
O
2.
Building
type of work will he complied with whether specified herein or not. The granting of a permit does not presume
/- 3EKT
Cfl,
3.:MOWNER
Plumbing
ADDRESS
E. G�f 3
Ss
CONTRACTOR
Mach.
zpNic24
SPECIAL CONDITIONS:
a.
oEslcrvER
Plan Check
5.
LEGAL DESCRIPTION — SEE ATTACHED
nP TYPe eonac. occupancv swlnl.mme
//.2�2 ❑ve: ❑Nn ❑Req e.
PHONE lValmation Building Area in sq. Ft.
TIRE El NEW ❑ALT. ❑ qD'N. ❑ RPL. ❑ MVE, oB
...
s o. Dors
N a. Rooms Rec. Room
J, OF El OTHER
WORK ❑ ALL. ElPLMB. ip rb MECH. ❑ M.H. ❑ POOL CERTIFICATE Rap'd, I Recd, Nat Rep'tl.
of EXEMPTION
DESCRIBE WORK
8, ff-[,( 59
/1
FEES COLLECTED
Vg11gTION Sooufr Ce ETRC gTESEWER
9. I
single 8
1 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 he 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.
Plumbing
-Ai
DATE _� SIGNATUR
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ -D. RECD.
Plan Check
are. Health
SERA
Planning
Mobile Home
Other (Specify)
ry
Fire Marshall
Co. Engineer
Vtint.i
TOTAL $
Zone Clearance
WHEN MACHINE VALIDA"
TH S BF�COMiS A PERMIT
SERA Cngc¢I bt
narF(o'Q-CCTinFFlr.�nl >,nrvt
PERMIT NOMtlER
DATE
(I+
E � _
G9—cu
rd74.
1-9 ) . R 7.