1979, 07-06 Permit: 79-144 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMITUM R
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 77 4
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDI1E6S5 06 03* * 3300
p LEGAL DESCRIPTION - SEE ATTACHED * 3 3 N
0 0
1. cc' _ s fes. -k, .,
LOT BLOCK SUBDIVISION / PARCEL NUMBER/S
N.24�9�5' .22 a a7 ,v c it s,. Pia e 1 4 3 �7 �7 9f1
OWNER PHONE 0 / -0 6- /
3. Da-V t d 4 K de 1-s d,1 2y,c,Y64-.
ADDRESS ZIP Required Set Backs in Feet 2 6 4 7 9,
E /USO 2_ /y74 492.o North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4' ADDRESS �� _� ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No D Req'd.
PHONE Valuation Building Area in Sq. Ft.
5. P Ba---_- 3-3s---9Fx
ADDRESS ZIP DWL Area Basement Area Garage Area Storage • —
E3 d 2 o We'S'.SCr
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE 11�NEW ❑ ALT. D AD'N. 0 RPL. 0 MVE.
7. OF �i 0 OTHER
WORK
0 BLD. xPLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK •
8. / $ � —r, 1. FEES COLLECTED
VALUATION urce L 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 Plumbing .3A 00
performance of construction. / /40F
DATE 9-6,-7 7 SIGNATURE Wil✓` - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health /y� F\•• QVC S„ c
SEPA
Planning w
- 2
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $ 33-o9!7
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THICOO EA� MIT.
/— �_2 9 — + 1 yz * 3' l
0 0- FDATEOFFICIAL
APPROVED FOR ISSUANCE