1980, 09-23 Permit: P80B-674 Plumbing Fixtures(PLAN 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 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER /j PHONE
3. --f -16 P]
C,
ADDRES -
Set Back eat
Actualg��0
ao� r
N rthSou h
East West
CONTRA OR
PHONE
Size of Parcel
Zone Classification
-
Vii— /Z 0
-+.
7
ADD
ZIP
Type Const.
Occupancy
Sprinklered
l zc
❑Yes [-]No ❑ Req -d.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK -A�PLMB.
of EXEMPTION
DESCRIB'i WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8.
VALUATION
SOURCE
AS
ELECTRIC
WATER
SEWER
Ownership
USEIthis
9.
OF
I UTILITIES
Public ❑ Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governiBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not pto
give authority to violate or cancel the provisions of any other state or local law regulating construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing L_
DATE OF APPLICATION SIGNATURE OF APPLICANT _ _ _
Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
s Examiner
chniclan PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
8c5 T3 - G -7Y
*5.50
*550
*5,5016
A *0,00 00
67,Oz
09-23-80
9 6,479,
SEPA
i
c
i
Mobile Home L
L
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 q;wt2 `3l - 40 '6 7.4 z 5.5 d
DATE ISSUED PERMIT NO. Y