1980, 07-07 Permit: 80-6739 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
ej NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB A DRESS LEGAL DESCRIPTION - SEE ATTACHED 0 * * 2 8.0 G
LOT B
�' ��OCK � DIVISION NUMBER N PARCEL /S * 2 8 0 0
2. * 28.00
OWNS det,t.A.A.,L PHONE E
3. ESS ZIP Actual Set Backs in Feet * 000
000 E
' DDR o
North 'South East IWest 6 7 3.8 2
CONT CTOR PHONE Size of Parcel Zone Classification
,..e..."63'3' i 07-07-80
4. ADDRESS/ ,,t ' i 55 I,/(0-• Type Const. Occupancy Sprinklered 5'4 / 9.
l , -ei3 Uvr_ `rt✓ < 7 _? Y• ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. No.Baths No. Stories No. Rooms No. of Dwellings
TYPEQtW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. -
7. OF ,��,�� 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. �PLMB. ❑ MECH. 0 M.H. ❑ POOL of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) ' FEES COLLECTED
8. /0 f ,ew- I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public El Private 1:19, 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 s�
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing /`yo..
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
7/74
SIGNATURE OF APPLICANT /111' _.,-<< a""' �� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check
NAME DATE /ry^] I r
Env. Health C r / t✓ SEPA �
( C7
—�L rl „ v
Planning s� CD
G f �/ Mobile Home _
l� ._
Fire Marshall / e�±�/�, �
"� Other(Specify)
Co. Engineer
Utilities TOTAL $ �
Plans Examiner 1 W #`
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 4 �y THIS BECOMES A PERMIT.
Building Technician PIL 'ERMIT IS NONTRANSFERABLE '�.; -.rD (''`8;0 6 7 3.9 ° * 2 8. 0 0 a F-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL