1979, 07-27 Permit: 79-1137 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT " - 7y—//32
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS �
1. ea 30 I y ./-,r" - LEGAL DESCRIPTION — SEE ATTACHED 0 3* *; 8 N
LOT BLOCK SUBDIVISION PARC`,F.L NU1 RER/S * 5 0 cYi
2. & .....C. vv lle, Uoeki 7/ z.'`,�40L�/
OWNER PHONE B *0 0 0 00
J` �
3. b6-ve. 1.99 Pr C g-7g-.2 C _
ADDRESS ('' ZIP Required Set Backs in Feet 1 1 3 6 2
`7 e y�..c. North 'SouthEast (West 0 7—2 7—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. g 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
Eyes EN() ❑ Req'd.
9,E5442rR1'E1— � /� �^ PHONE Valuation Building Area in Sq. Ft.
5. /"/e' ,cf," i et c4 viu.I .i ic:, _S.3S-4'b�)C
ADDRESS Yd ZIP DWL Area Basement Area Garage Area Storage
PCS• g,x iyodlY .5L-J,,1 y-72,, /
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF ❑ OTHER -
WORK Cl BLD. A PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. P%wi A s-,.0.,_ 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 regulating construction or the .'--,<st_)
performance of construction. Plumbing
G`
DATE `�� SIGNATURE i/, �._
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
cc
SEPA
Planning w
2
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $ 0
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOME R
A PEMIT.
C]
DATE _ OFFICIAL u 7 — 2 _7 / i. 1 .�,7 * O
5,5 0 i1
APPROVED FOR ISSUANCE