1979, 11-01 Permit: 79-7090 Plumbing Fixtures PLAN NUMBER 1APPLICATION/PERMIT PERMIT NUMBER 1
NTY — BUILDINGCODES DEPARTMENT p 7q- ?d y�
SPOKANE COU
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE A""-3 ' —7
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
03 * * 3550
JOB ADDRESS
i. �� �� /f,� LEGAL DESCRIPTION - SEE ATTACHED * 3 5 5 0 ,-
LOT BLOCK SUBDIVISION �`� PARCEL NUMBER/S B * 3 5.5 00n
2. OWNER PHONE *0 0 0 O
3. 708.9
AD 1-142 FrSS P ZIP Required Set Backs in Feet
iMieKS/r e4eter/ 64/1 7 e- North 'South East West 1 1 –0 1 –7 9
CONTRACTOR �+ P NE Size of Parcel Zone Classification
4. 4370.5- - J�! -, 1-[2...-- �I�J�4Y 6 4 7 9.
ADDRESSZIP �_ Type Const. Occupancy Sprinklered
�/ 4 ❑Yes ❑No ❑ Req'd.
5 pErNFR: "jfN, /` pH� / Valuation Building Area in Sq. Ft. —
ArRF /.0 ,ZZ7IP9 DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF // ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK El BLD. PLMB. L9 MECH: ❑ M.H. ❑ POOL y
of EXEMPTION
DESCRIBE WORK 8. / ;1Kire'S /' /1/`. FEES COLLECTED
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 gr.• g of a permit does o presume 5V
to give authority to violate or cancel the provisions of any other state or I. aw res. a ing cons ru ion or the g
performance of construction. Plumbing
///
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA cp
o v
Planning — w
a.
Mobile Home c",
Fire Marshall z
Co. Engineer Other (Specify)
Utilities TOTAL $ 3.5-
5
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /b- /- 79 THIS BECOMES A PERMIT.
DATE _ OFFICIALRO/4 tittl -- 5 5 ru u
APPROVED FOR ISSUANCE _