1980, 08-11 Permit: P80-8351 Plumbing FixturesPLAN NUMBER
(0,
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
1.
LOT
2.
/e- - /7
BLOC SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3. ylZ--� rz- "
ADDRESS
CONTRACTOR
4.
TRESS
6-7-7.3.G!421 i /C,,csr..
PHONE
ZI P
Actual Set Backs in Feet
North 'South jEast 'West
DESIGNER
5. ADDRESS
PHONE
929 -1V -1J
ZIP
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
C NEW ❑ ALT. ❑ AD N.
❑ BLD. PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories No. Rooms
No. of Dwellings
CERTIFICATE Req'd.
of EXEMPTION
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
1'
SOURCE
OF
UTILITIES
GA
ELECTRIC
WATER
SEWER
Enum. Dist.
ILocation (Area)
Ownership
Public ❑ Private ❑
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
4
DATE OF APPLICATION j//.�"j SIGNATURE OF APPLICANT�� 'r
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
(ding.;- nici�n
SPECIAL CONDITIONS:
1 CA/ 41, !
D
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
3 s,
Plumbing
ri
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $J041
PERMIT NUMBER
03* *38.00
*3800
*38006
A *000
83502 ,.
08-11-80
2 6Li.7cr,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'08-.'1=_8i0'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
8'3'5,.15
PERMIT NO.
* 3 8. 0 0
TOTAL
CII C nn Dv