1980, 09-09 Permit: P80-9869 Plumbing FixturesLPLAN NUMBED,
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (5091 456-3615
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 14810 - 17th
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3 Dick Reeves (R & R Construction)
ADDRESS
P.O.Box 14217, Spokane, Wash.
PHONE
928-3610
1'
99214
Actual Set Backs in Feet
North (South East IWost
4.
CONTRACTOR
Miller's Plumbing
PHONE
483-2025
Size of Parcel I Zone Classification
ADDRESS
623 E. Liberty, Spokane, Wash.
ZIP
99207
Type Const.
Occupancy
Sprinklore0
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in So. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Arca
StOrago
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Arca Of Decks
Finished Basement
Unf in. Basement
hA NEW s❑0 ALT. 0 AD'N. 0 RPL. 0 MVE.
0 BLD. XXPLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
Nor of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Reted.
DESCRIBE WORK
8. Plumbing installation - New - SFR
return. Dist.
ILocation (Area)
VALUATION SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
WATER
SEWER
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
DATE OF APPLICATION 9-09-80
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshal'
Co. Eng
Utilities
Plans Examiner
5 •A heckbst
Bull•
g nlcian
14 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $38.00
t
/*clic_ic y, O A l�� a l>. U� � r"' "`kr� /c /9(0.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
S gle $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
35.00
3.00
TOTAL $ 38.00
PERMIT NUMBER
1� —986q
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
J9',Oe91'8r 9869 *38OOaaE —
DATE ISSUED PERMIT NO. TOTAL
›-
0 1
0
U