1980, 07-30 Permit: P80-7929 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Bit JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2.
JOB ADD ff
- / i/k
B//
LOr
L C
SUBDI VISI
LEGAL DESCRIPTION — SEE ATTACHED
3
OWNER
/eo /Qnice('
PHONE
PARCEL NUMBER/5
ADDRESS
ZIP
Actual Set Backs in Feet
North (South East IWest
CONTR
4. AD
RES
r ti //, m(
. i
3.Q4 aa -17
PHONE
-1400
DESIGNER
5' ADDRESS
Zlr�ao�
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Refl.
Valuation 1 Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unhn. Basement
7.
TYPE
OF
WORK
»IEW 0 ALT. 0 ADN. 0 RPL. 0 MVE.
0 BLD. f:MB. ❑ MECH. ❑ M.H. 0 POOL
0 OTHER
NO. Baths
No. Stories
NO. Rooms
No.,of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
,DESCRIBE WORK
B� hf b c •
VALUATION
9.
Enum. Dist.
Location (Areal
SOURCE GAS ELECTRIC
UTILITIES
WATER
SEWER
Ownership
Public ❑ Private 0
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 r ulating construction or the
performance of construction.
SE REVERS SIDE FOR REQUIRED INSPE NS A(�
DATE OF APPLICATION / / 2 ?/ _ SIGNATURE OF APPLICAO
SPECIAL APPROVALS
NAME DATE
Env. Heath
Planning
F
Co. Engineer
Utilllie
Plans Examiner
SEPA Checklist
B
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
S'ngle $
Bing 32
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other ISpecifyl
3
TOTAL
$35
PERMIT NUMBER
3* *355p
* 3`50
* 35504
E *0.00 8
792.81
07-30-80
64'79
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
07-3,0 It 8.0 7929= *3550
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
a
0
0
J