1980, 10-09 Permit: 80B-1750 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT ip PERMIT NUMBER
'r SPOKANE COUNTY - BUILDING CODES DEPARTMENT/
4 (7�D
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRE
��/ /� r LEGAL DESCRIPTION — SEE ATTACHED * * 22 00
1. LOT OCK SUBDIVISION PARCEL NUMBER/S
2. - *
c'_ ,P l O tJ
OWN PHONE
3. 7d�-' ry� ,, , /ice * 0
ADDRESS ZIP Actual Set Backs in Feet
i 'r LI,Q .-
North 'South fast (West
CONT, TOR PHONE Size of Parcel Zone Classification I — C 9— r, 0
4' ADD S ZIP y Type Const. Occupancy Sprinklered - r
f 4 r
43 Q 3 D�.,—C/L.4. 9 9 2/ C/om, Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE r No. Baths No. Stories No. Rooms No. of Dwellings
1ZJ_s'Ew 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK
0 BLD. �FSLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) T
8. /O 4 I j^�2&., FEES COLLECTED
VALUATION f C�L�/ I
SOURCE AS ELECTRIC WATER SEWER Ownership USE CODE
OF
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 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 local law regulating construction or the ` ,.,,r „�
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
ktDATE OF APPLICATION /0/7/0 SIGNATURE OF APPLICANT 6:'tr Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
O.AME DATE Plan Check
Env. Health
Z 6,.)6..., SEPA
Planning Y ( L/�'� r�_ `-�
w
Fire Marshall Mobile Home --J
Co. Engineer / .5/A)/6" Other(Specify)
Utilities Z - .��J
Plans Examiner
/ "IT `.� TOTAL $ eT Zig
f ,S r JJ/- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklistf-�u>t� THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 1+i1'. 0,9,..-_.8 Q' 1 5,0 , * 2 G O l —
i '
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL