1980, 09-18 Permit: 80B-479 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
' SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRS 0 3 * * 2800
1. 6„( cf /d LEGAL DESCRIPTION - SEE ATTACHED * 2. <; ,) 0
LOT BLOCK BDIVISION PARCEL NUMBER/S
2. - * 2C. 00
O
3. Zitt .. �T J PHONE X�7 Il
Cr
ADDRESS ZIP Actual Set Backs in Feet 47 a`" .
6)-30/O / / -e.cd .<.4,, tj North ISouth East 'West 0 9- 1 8-8 0
CONT CTOR /% _ > PHONp����y�� Size of Parcel Zone Classification o 6 4�9
4' `'ADDRESS jf AL�� lZ�IIP JET / Type Const. Occupancy Sprinklered
/P o) -eg L 9 7 ` y` V ❑Yes ❑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 ®' No. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER -
WORK
0 BLD. ,-PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. /0-L4L; i FEES COLLECTED
VALUATION SOURCE S ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
0fJ
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 9 Plumbing
DATE OF APPLICATION 7//,"/ SIGNATURE OF APPLICANT ti'���� C.C-C. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 1 / Plan Check
Env. Health L/ (.AGI C.+
,lig ‘a-,� SEPA ;_
/� cp
Planning c�
Fire Marshall FMobile Home
1 .S t IP tG —
Co. Engineer LL1 _ , Other (Specify)
Utilities ` W (4I?
TOTAL $ /C 0
Plans Examiner ( -1+-h--..% VALIDATED IN THIS SPACE,
SEPA Checklist
4 et, c, THIS BECOMES A PERMIT.Building Technician PERMIT IS NONTRANSFERABLE r; 0 -'u 0 4 7, 9 * 2 8. 0 0 n h- -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL