1979, 08-20 Permit: 79-2439 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PE�R-'M7IT NUMBER 1
pSPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 3 * * 2 8.0 a
JOB ADDRESS
1' ?goLEGAL DESCRIPTION — SEE ATTACHED * 2 0 0 0 N
LOT BLOCK S BUB eDIVISION Q{ PARCEL NUMBER/S * 2 8 0 0 8
2. B * ao��
5-7
OWNER �r/, PHONE
3. N4 idiotic. -.t'1,9tieS Cog s,- 2 4 3.8 2
ADDRESS ZIP Required Set Backs in Feet n
North 'South East IWest 9
0 11`2 0—7
CONTRACTOR PHONE Size of Parcel Zone Classification (�4 7 9.
4' ADORE$$�3 tr C'��/, / ZIP
I7P galY/ Type Const. Occupancy Sprinklered
fJ, ��v/�` ❑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. No. Baths No. Floors No. Rooms Rec. Room
TYPE niEW ❑ ALT. El AD'N. 0 RPL. 12 MVE.
7. OF "�: ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. k PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORKFEES COLLECTED
8. /0bei(. 44..,
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 granting • . permit does not presume
oil
to give authority to violate or cancel the provisions of any other state or local la, reg ating construction or the plumbing .-
performance of construction. .'
DATE e'l?- 7? SIGNATURE_ F ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. ���/�� Plan Check
Env.Health i?/(412 SEPA I
U
y
Planning a_
r.,"Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist r s 08 - 20 -79 243.92 * 28.002
DATE 17 '71 OFFICI• t_ - Or CA--------'
APPROV I OR ISSUANCE