1980, 06-24 Permit: 80-6250 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY - BUILDING CODES DEPARTMENT P 8o 6
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES * L'
1 ' " Q� 5;7'0° LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
3.71ER
r���� 714:01\pe: 946,0
c; r� 4,DRES7 �//J� p99::;7a6
�J/� Required Set Backs inZ Required Set Backs in Feet „_
/.15294 , Z 'Gr / q a(� North 'South [East (West
CON CTOR PH Size of Parcel Zone Classification i� , ';�,
� ,�� . / _
4.2P-RfrE
////�] //���'��I /�f� iY Z [//� Type Const. Occupancy Sprinklered
/ aiei7�j�y/j6� tejyi (1, 9%�/� ❑Yes ❑No ❑ Req'd.
DESIGNER - / PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area 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 El ALT. El AD'N. ❑ RPL. ❑ MVE.
7, OFL/ ❑ OTHER
WORK BLD. B. ❑ MECH: 0 M.H. El POOL CERTIFICATE Req'd. Recd. Not Req'd.
(// I of EXEMPTION
DE IBE I / E�� ` / ,
s [,g�� ..r/ gyp/ FEES COLLECTED •
t/ALU I N Source GAS ELECTRIC TER 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
to give authority to violate or cancel the provisions of any other state or lo .1 la regulating construction or the 4..0 O
performance of construction. /::
Plumbing aO
_ �,�( Z7.•DATE �r� L/ leSIGNATURE tl//!i` Mech. 1.-3• 0,0
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning CD— w
r
Mobile Home cr)
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities ,„.. .. ..• V0
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist N, THIS,BECOME,S.A RF.RMIT. - ,a;
�y ' i. i
DATE ��Y OFF
APP FOR ISSUANCE —