1979, 11-08 Permit: 79-7508 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT APERMIT NU—rs/TBrit
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7'7 7- 0
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 1!')7— '4?
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
03 * * 1 0,50
JOB ADDRESS ��// LEGAL DESCRIPTION — SEE ATTACHED * 1 0 5 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 O.5 0 C.Y.)
2. E
O`'�NER PHONE * 0 0 0 O
3. h1;G��-CG '12&'- 104-rL 7 50 7
ADDRESS ZIP Required Set Backs in Feet
j.t7e 6' / ' -h,, a 4,t& qq n..._.:-.?.,7 North 'South East 1West 1 1 —0 8—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
_ ",'c( i/ k' 2 64.79.
4' AD RESS ZIP Type Const. Occupancy Sprinklered
fit%(.-' : ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area 'Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ISI PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK �J � t
8. i-A2 ,e°�],{� ,C. tt /
,.�
. 1' .(.4, 1.11-4..4,C-0t ( ,�. �G ,1.4e---4c I FEES COLLECTED
VALUATION Source 1 GA7 ELECTRI 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 regulating construction or the /Zi (5-"e}
..—. Plumbing
performance of construction. / / `�
DATE //— g" 7 SIGNATURE `/iii-' -.4� ' At _ 4-' -'et-1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. �,��/j/�// Val---
IF/f��,,,,��{/�; ///��' Plan Check
Env.Health �j�j'"a""`^,�Iti'(.t./`-"' -P.Lf rv�.1/'�'"Ct cc
' SEPA o
Planning .' --
Mobile Home r
Fire Marshall n
Z
Co. Engineer Other (Specify)
Utilities TOTAL $ /6)��
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
g'79
DATE OFFICIAIf 4 O/QZ " 1 '0.0.'47 7 5 0,8 Z *11 0.5 n
l
APPROVED FOR ISSUANCE