1980, 05-07 Permit: 80-4448 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
E. 5211 - 16th
LOT BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
OWNER
Harper Builders (H. P. "Spud" Harper)
PHONE
276-6011
PARCEL NUMBER/S
ADDRESS
Rt 1, Box 63 B, Deer Park, Wash.
2199006
Required Set Backs in Feet
North !South 1East (West
CONTRACTOR Miller's„,�.,
4. Plumbing
ADDRESS
623 E. Liberty, Spokane, Wash.
PHONE
483-2025
Size of Parcel 1 Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1 Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area ( Garage Area I Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
04 NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. - , Plumbing installation.
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
ATER SEWER
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
DATE 5-07-80 SIGNATURE
FEES COLLECTED
Single $
Building
DEPT.
, SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
• 1..i.
,;t4 -LJ �P9� Ct�tt _ _ 3- —gs - e d
SPECIAL CONDITIONS:
Twenty One Fixtures @ $2.50 per each
= $52.50
(Memo: Custom home of John & Nancy
Satterberg)
NOTE: Ready for ground work
installation late this
afternoon (5-07-80) or
first thing tomorrow
S- 7-8d morning (5-08-80) T HAP K YOU!
re
DATE OFFICIAL
"T
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
52.50
OtheeSpecify) 3.00
TOTAL $
$55.50
DATE
1
PERMIT NUMBER
May 7, 1980.
03- *5550
* 55.50
* 55506
E *000
44[72
05-07-80
2 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b5'-07-'80
444:8z *55,50
O J