1980, 10-01 Permit: 80B-1224 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT ,D PERMIT NUMBER
SPOKANE COUNTY — BU1LDINZ; CODES DEPARTMENT / FO 13-/Q,2 4
(1).." NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 3 * * 2 0
1. 15311 1 5�1-1._ LEGAL DESCRIPTION - SEE ATTACHED * 2 0 0
LOT LCK SUBDIVISION PARCEL NUMBER/S * 2 8 0 0 i
2.
OWNERj�` PHONE A * 0 0 C G
3. ADDRESS ✓fr ti 3/4" ``-f(I r vf,
ZIP Actual Set Backs in Feet 1 2 2 3
North [South
East (West 1 0—'0 1 -8 0
CONT A,���T PHONE Size of Parcel Zone Classification
4. 1 �r _......711c . - � 2 6479,
A ESS ..37})./.._/ a ZII9 / Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIG ER 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
TYPE El NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
7, OF ❑ OTHER
WORK CIBLD. APLMB. 0 MECH. ElM.H. 0 POOL CERTIFICATE
Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
$ / ct Y"4i - , i FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local aw egu .ting construction or the -�c,,r`I
performance of construction.SEE REV<RSE SIDE FOR REQUIRED INSPECT.N I Plumbing s
f .� ' '
DATE OF APPLICATION D SIGNATURE OF APPLICANT -.4 -� Mech.
SPECIAL APPROVALS SPE IAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n_
Planning O
Fire Marshall Mobile Home
Co. Engineer Other (Specify) 4,-
Utilities igC./
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE '1'0
�011-?8' 0' 1'22, 4 * 28. 00 °
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL