1979, 07-27 Permit: 79-1173 Plumbing FixturesILAN 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 4 COPIES
JOB ADDRESS
4th AVENUE, E. 15706 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER
PHONE
g BERT M. MORRIS
922-4819
ADDRESS
ZIP
Required Set Backs in Feet
SAME VERADALE
99037
North ISouth
East lWest
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S AME
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL 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 11 NEW ALT. E)AD'N. El RPL. 1:1MVE.
7 ,+,❑�,
E) BLD. rJ PLMB. ElMECH: ElM.H. ❑POOL 1-1 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'c
WORK
of EXEMPTION
DESCRIBE WORK
8. PLUMBING 7 Fixtures
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
1 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 20.50
performance of construction.
Plumbing
DATE SIGNATURE—
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
e Clearance
t
�Jn
D, / ATE � � OFFICI
P PE� IT,NU)V16ER�
Iii.
DATE July 27, 1979
03* *20.50
*20.50 t
*2050
B *0.00 00
1 1 7.2a
07-27-79
;F 6479,
TOTAL $ 20.50
WHEN MACHINE VALIDATED 1
THIS B COM A PERMIT.
0�-2 -7
3 SPACE,
117,30 *20.50101 -1-J
INSPE"""TED ,3Y
0`71F
INSPECTIONS
INSPE"""TED ,3Y