1980, 07-30 Permit: 80-7889 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
2.
13 709 /o74
3. I,aZJL/ , -%1 //4 J
ADDRESS
ut11 e, ' XI /444
d -/L
1 i
L
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
CONTRACTORj
4
• ADDRESS �ff �`�A.�l�//���
c‘...% iiet
. /L' tel~ '� . •p/-°!1 a4 l�O�fX./L�
DESIGNER /
ZIP
Actual Set Backs in Feet
1South East
North
'West
PHONE J
Size of Parcel
Zone Classification
5' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
O NEW
O BLD.
❑ ALT.
PLMB.
❑ AD'N.
O MECH.
❑ RPL.
❑ M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
SCRJBE WORK p/// y i
LUATION
9.
SOURCE
OF
UTILITIES
GAS E!.t.. , TC ~ ��I 4 L.? -, „L 1
WAT
SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" prpvisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED / INSPECT}QNS
/ '"�c.�D'— �
DATE OF APPLICATION g-4.) SIGNATURE OF APPLICANT% \\ /1 -
t --a `
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu' ding,Tec nicia
4
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing f�
Mech.
Pian Check
SEPA
Mobile Home -
Other (Specify)
TOTAL
t)
PERMIT NUMBER
f1v -7�k�i
03* *1550
* 15,50
* 15.506
E *0.00 8
788.88
07-30-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-3,0'-80
DATE ISSUED
788.90
PERMIT NO.
*15.50° -
TOTAL