1980, 12-08 Permit: 80B-4579 Plumbing Fixtures PLAN NUMBER 1 1 APPLICATION/PERMIT PERM?hT NUMBER
L_ SPOKANE COUNTY — BUILDING CODES DEPARTMENT U5'"7/-6 /%
C NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 03 * * 25,00
1. E. 14908 - 10th LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 2 5. 0 0
2. * 25.006
OWNER PHONE
3 Homeland Bui 1 ders 926-2446 A * 0 0 0
ADDRESS ZIP Actual Set Backs in Feet 4 5 7.8
P.O. Box 13443, Spokane, Wash. 99206 North (South East West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 2-0 8-8 0
Miller' s Plumbing 483-2025
4' ADDRESS ZIP Type Const. Occupancy Sprinklered 6 4 7 9,
E. 623 Liberty, Spokane,. Wash. 99207 ❑Yes ❑No ❑ 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 ,,yy,, No.Baths No. Stories No. Rooms No. of Dwellings
DI NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ,.yc, ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. l� PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) 1.--
8.
s. Plumbing installation - New - SFR FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public LI Private ❑
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 22.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing
DATE OF APPLICATION 12-05-80 SIGNATURE OF APPLICANT A -. /I- t/ "r �' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health 9 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $25.50
Rounded To: $25.00 SEPA
Planning /�J_ e� O
Fire Marshall �� h2 / CL3LJ Mobile Home
y.44.-142.17 , . , r �� 3.00
Co. Engineer Other (Specify)
Fee
/�- DS- w . -76- _4 44t / 25.00
Utilities TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui/liiing Technician --yy PERMIT IS NONTRANSFERABLE 1 2,17 e,'8, i�''�i 415,7 9' � *+2 0 d F
a;a ,�. (1/rolifAs PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISUED PERMIT NO. TOTAL