1979, 10-25 Permit: 79-6683 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT J PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
^ _ �3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /Jr 4-79
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 L. * * 9.0 0
JOB ADDRESS . O 0
1 E 'C'2--/ ._q ,hLEGAL DESCRIPTION - SEE ATTACHED tii
LOT BLOCK SUBDIVISION PARCEL NUMBER/S E * 9.0 0 6
2.
OWNER PHONE * �,00
3. 'lb`r_l 88‘47-1- T t UC<O4— 6 68.2 2
ADDRESS ZIP Required Set Backs in Feet
S k.WVe North (SouthEast (west 1 0 6-2 5-7 9
CONTRAC 1 k3�
PHONE Size of Parcel Zone Classification 2 4 7 9
4' ADDRESSZIP Type Const. Occupancy Sprinklered
/� kr
❑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. d l 319`
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEWALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF —/ 1=1 OTHER Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. MECH: ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WOR
k<�A`S Calk;
l_t,,re... 10,u u4v �V /0 ^l01 FEES COLLECTED
VALUATION 'v Sourccej/vGAS ELECT•RIICC WATER V SEWER
of9, UtilitiesSingle $ —
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 toal law regu sting c nstructi or the
performance of construction. , Plumbing
-�4
DATE 1O- k9 SIGNATURE /A.&s . 0 I x ,(70
-MeerSPECIAL APPROVALS SPECIAL CONDITI 4S:
DEPT. REQ'D. REC'D. j Plan Check
Env.Health I , LIf (1n." Q`e4/t jr ..�
�� 1` 1J�1 j*`} J 1 v�V SEPA 7_
Planning —
e1ed f CL +'`'1-
n_
Fire Marshall \ Mobile Home --.
Co. Engineer 6C) �' r'(v �LS Other (Specify)
Utilities \j YAU3ZC�' —
TOTAL $ Ct. tt)
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist <. THIS BECOMES A PERMIT.
DATEA09/ j OFFICI n2 5 -7 9 •
668. 32 * 9. 002
APPR R ISSUANCE —