Loading...
1980, 05-14 Permit: 80-4766 Piping PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT g� 74,4. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS I;IARD.?'O MAKE 3 COPIES JOB ADDRESS 0 4 * *6 0 0 1 ,�— 5jzi-/`�4 LEGAL DESCRIPTION - SEE ATTACHED LOT B OZK •SUBDIVISION PARCEL NUMBER/S *600 2. 4765 g. OWNER PHONE 3. 01. ILIfe° 05- 14-80 ADDRESS -/ ZIP Actual Set Backs in Feet '. 6 4 7 9. ,It, 5- r- -/ - /6""A North 'South East 'West CONTRACTOR� ) / PHONE Size of Parcel Zone Classification 4. idcyhr- Ji'yi,J .y Pedes-z W-e?3_, ADDRES Type Const. Occupancy Sprinklered j715- Q��/� 19.267 Oyes ❑No 0 Req'd. DESIGN[[[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. TYPENo. Baths No. Stories No. Rooms No. of Dwellings ❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7, OF 0 OTHER WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION ESCRIBE ORK Enum. Dist. I Location (Area) T n 8. i( , ? �EN r- l FEES COLLECTED LVAL/ �/ VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public El Private 0 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 performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /� Plumbing �it.9: i-` D! DATE OF APPLICATION j�/*- (� SIGNATURE OF APPLICAAd�->�t> /• ��: Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (v/ Plan Check NAME DATE Env. Health © / ; // ,t d ^ SEPA a Planning / .- ��� " p 4 41 - Mobile Home u-i Fire Marshall ---i: IL Co. Engineer Other(Specify))) Utilities tL,L.0— TOTAL • Plans Examiner �� ( /Cr—o O d WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Build Tech cian L r2 PERMIT IS NONTRANSFERABLE o o �u. 05r-'14;- 80 476. 62 * 6,OOalJ - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL