1979, 08-07 Permit: 79-1672 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER/6 7 I
P - -—
4010)
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE August 6, 1979
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * * 2 8.0 0
JOB ADDRESS 2 8,O C N
1. 11th AVENUE, E. 14918 LEGAL DESCRIPTION — SEE ATTACHED * 8
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 2 8 0 0 Yv
2. A * 0,00 0
OWNER PHONE
3 NORTHWEST CONSTRUCTION 922-1705 1 6 7. 1 2
ADDRESS ZIP Required Set Backs in Feet
N. 708 Argonne 99206 North 'SouthEast west 0 8—0 7—7 9
CONTRACTOR PHONE . Size of Parcel Zone Classification g 6 4 7 9,
4. MARTINS PLUMBIIfI. 924-9057
ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 14313----Trend- - 99716- _ s
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. II) PLMB. ❑ MECH: 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Plumbing 10 Fixtures
8. FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities Single $ t
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 28.00
performance of construction. Plumbing _-
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health tZ
SEPA CD
Planning — w
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities 28.00
TOTAL $
Zone Clearance
/ c
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist (!�) 4/ q — THIS BECOMES A'7PE(�RMIT. p
DATE" 7( 7A OFF I• AL, .,5---> U 8 — O /' / 7 i 6 7.2 C', * 2 0. O O a F-
APP WV P. OR ISSUANCE