1980, 07-31 Permit: 80-7958 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT f PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �/j
0 / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE f6'
—to
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS Cyy. M, LEGAL DESCRIPTION - SEE ATTACHED
1 LOT7LOCK SUBDIVISION 9 .."--- PARCEL NUMBER/S
2.
OWNS �,,( �J PHONE
3. [i,. 4i ,/ ,e,..2...,----,-,/ ,e,..2...,----,--S "
AD RES ZIP Required Set Backs in Feet
// // /� North ISouth East 'West
CCi/` p/R //
PHONE/�'J Size of Parcel Zone Classification
4• 1710,121 Z Type Const. Occupancy Sprinklered
�- 721?--- j _ CI Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ..:
ADDRESS ZIP DWL Area 'Basement Area r Garage Area I Storage _.
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER -
WORK CIBLD. ElPLMB. CIMECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. ,i/Z7 /jilt<
VALUA ION 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 of a permit does not presume
c..
to give authority to violate or cancel the provisions of any other state or lo0.w regulat��anstruction or the
performance of construction. /. Plumbing 1
DATE 2— 10_ O SIGNAT -�� / Ir �/:.r.�I' .J`,
L Mech.
SPECIAL APPROVALS SPECIAL CONDITION .
DEPT. REQ'D. REC'D. Plan Check
Env. Health
ce
SEPA o
Planning U
d.
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities .
TOTAL $ �8�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistTHIS BECOMES A PERMIT.
DATE ✓' 7/'?Y�'OFFICIAL ik.,d 1.4, -,(4.'/.1.,L LI.c. a.7 -3 .L 3 05. C2 i
APPROVED FOR ISSUANCE