1980, 08-19 Permit: 80-8736 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT
L {/
/ CT23
-19 1 �.� ) l SPOKANE COUNTY - BUILDING CODES DEPARTMENT �J PERMITNUMBER
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS -
1 7 5 — LEGAL DESCRIPTION - SEE ATTACHED 0 3 * * 3 3. 0 c'
LOT BLOCK (SUBDIVISION _ PARCEL NUMBER/S * J 7, 0 C
2. -_�„ _ � * 33. 00'.,
OWrye PHONE
3. J,,/,? /.� to, , 941-g.5- 5-- E * 0
ADDRESS _ �7ZI Actual Set Backs in Feet
/. . --, a- North 'SouthEast 'West 8 7 3
CONTRACTOR PHONE Size of Parcel Zone Classification 0 8- 1 9-S. 0
4. ADDRESS ZIP Type Const. Occupancy Sprinklered ,_ 6 7 9,
✓J/���,� T� ❑Yes ❑No ❑ Req'd.
DESIG ,R�C�S/. J /le("etG,/�� � `..... ... Valuation Building Area in Sq. Ft.
5' ADDF;JgLSS.� /�� 1��� ZIP9/— o Main Floor Upper Floors Garage Area Storage -
yvi,
CHANGE OF USE FROM//� TO (�%// Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER -
WORK XBLD. PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/ of EXEMPTION
8. x DESCRIBE WORK - ft5 /� Enum.Dist. I Location (Area) FEES COLLECTED
VALUATION SOURCE GAS /[J�, ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public 0 Private 0 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
type of work will be complied with whether specified herein or not. The granting of a .•rmit does not presum- Building
OD
to give authority to violate or cancel the provisions of any other state or local law res. Ing construction or "2.2performance
of construction.SEE REV SE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION �/� SIGNATURE OF APPLICANT Al ,% Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a
Planning O
U
Fire Marshall Mobile Home
U-
Co. Engineer Other(Specify)
Utilities oc)
TOTAL $ 33
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A
PERMIT.
s ''
7 j6
* I -
Buil in Technici� > PERMIT IS NONTRANSFERABLE U " l Si ,f PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL