1980, 06-16 Permit: 80-5852 Plumbing Fixtures -LAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 P-5?-0-s
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESSC 3 * * 3 8 O O
1. /goo e . / SI
i fX �e LEGAL DESCRIPTION - SEE ATTACHED
* 38, 00
LOT BLO K SUBDIV SION PARCEL NUMBER/S
2.
* 38,00 -,'
3.
Ori, ti
E
ed
1-71.4e-,lam/ '� -/ e-' Pam E * a Q C)
ADD SS ZIP �/ ll.�� Required Set Backs in Feet 5 8 5. 1
/.2// / I /, / / North 'South East (West 0616-80
CON"CTOR ie`�. PHONE Size of Parcel Zone Classification _
4. //////- 6479.
A ESS_D JO .�y, cle/ ZIP/ � Type Const. Occupancy Sprinklered
aJ1 ,/SI///JJ G.,.-/ ❑Yes No ❑ Req'd.
DESIGNER �� `/ P NE Valuation Building Area in Sq. Ft.
5. —
ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split ntry Split Level Rancher
6.
No. No. Floors No. Rooms Rec. Room
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK p.BLD. Oi.PLMB. ❑ MECH: I=1 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK j iii 8. 4.-., I)41`f.l�✓C S / i/ r FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9,S 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 gr.• ing of a permit does not presume
���
to give authority to violate or cancel the provisions of any other state or I aw regul g constructs or the
performance of onstruction.
Plumbing
el
DATE SIGNATURE_ / </ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA D
1—
Planning
— Ez]
1
Fire Marshall Mobile Home
Co. Engineer Other (Specify) et
Utilities /TOTAL $
Zone Clearance
WHirinerAisITAIEdiLlmDIATTED IN THIS SPACE,
SEPA Checklist / `/ N }},,,, TH
r , �...... ..L DATE r0//GS I? OFFICIAL I�Z//V�t 5 8 5. 2 z * 3 8. 0 °
,---. 111 LLL
APPROVED FOR ISSUANCE -