1980, 06-24 Permit: 80-6246 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT P -' '24-6
INORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES G 3 * * 1 e 0 0
JOB ADDRESS/'� �/� LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK BDIVI ION PARCEL NUMBER/S * I 0 0
2. /+/ p ..- C :'
3. O W ///JJJ „,,,./ze L
R , • ,Gj a/ d t
b 2 <
�CY'�'
ADDRESSZIJZ, Required Set Backs in Feet
�.i/� . 1/ Qb-2cF-- 0
/75 .�- .o �1�6, 4 , North 1SouthEast (West ”'
CON CTOR //'' PH NE ,�` Size of Parcel Zone Classification - 6 a 7 9.
Type Const. Occupancy Sprinklered
�/� 7� / fJ k��f/ 7tv /1po
❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area r Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ��. / 0 OTHER -
WORK LSBCD. �"F�MB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
RBE/ / /�4 FEES COLLECTED
$ ZUA ION Source SSI/ 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 l a permit does not presume
to give authority to violate or cancel the provisions of any other state or to law egulating construction or the le `
performance of
construction. Al, /, Plumbing
I/ , /i j�I
DATE‘:-.0.7V-401.6SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA c-D
Planning
I--
— w
d
Fire Marshall Mobile Home z
Co. Engineer
Other (Specify)
Utilities I0 Oa
TOTAL $ I
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS pE,COMERS/s,,PERMIT.
DATE ' 24 OFFICIAL ���' ii — ! C 1; ' * 1 ', L 0 O
APPRI,011017R ISSUANCE _