1979, 07-09 Permit: 79-226 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7'12
NORTH 811 JEFFERSON I. SPOKANE,WASHINGTON 99260 / (509)456-3675
DATE if,--e---7.--ff
9> ,./ ..-77
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1.
7.202 ,3 //--1' G LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
246`423 /8 `.C/ =v 4--.ems.
OWNERPHONE
3. 02X-517,01'
AD RESS7. 073
y ZIP �j Required Set Backs in Feet
o& / . 07 3 // ,7.24 6 North SouthEast West 0 3 * * 1 0,`5 0
CONTRACTOR PHONE Size of Parcel Zone Classification * 1 0 5 0
cn
4. *
ZIP Type Const. Occupancy Sprinklered B D * 1 0 5 0 u
❑Yes ❑No ❑ Req'd. * 0, 0 0 u
DESIGNER PHONE Valuation Building Area in Sq. Ft. 2 2 5
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage 0 7—0 9—7 9
CHANGE OF USE FROM TO Split Entry Split Level Rancher 2 6 4 7 9,
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NEW `❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. PLMB. ❑ MECH: IIM.H. II] POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. � - „tom es FEES COLLECTED
VALUATION Source 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 of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law resulating construction or the lQ 64
performance of construction. /
// Plumbing
DATE SIGNATURES `X i d — d L. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health rr
SEPA (D
Planning U
0—
Mobile Home cr)
Fire Marshall z
Co. Engineer Other (Specify)
Utilities
TOTAL $ ii4'
•.5Z
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. j J (�
DATE OFFICIAL 0 "7 -O 9 -7 9 L L, 6 Z *1 O 5 0 a F
APPROVED FOR ISSUANCE