1979, 11-06 Permit: 79-7368 Plumbing Fixtures PLAN NUMBER _1, APPLICATION/PERMIT PERMIT NUMBER '
SPOKANE COUNTY BUILDING CODES DEPARTMENT / 7`36
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 1 1-6
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 3 * * 1 3 0 0
JOB ADDRESS
1 p LEGAL DESCRIPTION - SEE ATTACHED * 1 3 0 0 N
LOT BLOCK SUBDIVIIS ON H PARCEL NUMBER/S Z� 2- j1/
n
s 7367
2.
OWNER 19 1�PrZLY PawtJ A v plot.] PHONE 1 1 -0 6-7 9
3. PAAL TTAM8UI2 LLQ qac--355?- g 6479.
ADDRESS'` ZIP Required Set Backs in Feet
i. ,T'q/c ?.DTF} VEIZADAI-F. 49o37 North (South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification
S/-ME r Q.,$115.
� --S/A16/5_GLFAMILY /Z
4. ADDRESS ZIP Type Const' Occupancy Sprinklered `
Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE /NEW LLf . El AD'N. ❑ RPL. 0 MVE. No. Baths No. Floors No. Rooms Rec. Room
7. OF CI OTHER Req'd. Recd. Not Req'd.
WORK
1=1 BLD. PLMB. CI MECH: 0 M.H. 11 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8. PLUMB1N6 Fix-rtItgEs ' Fig -rage-S FEES COLLECTED ,
VALUATION I Source G S ELECTRIC WATER SEWER
of
9. Utilities
Single $ r
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 Building
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 ,,3
Plumbing
performance of construction.
-� i i
DATE/1- �' SIGNATURE� C�-� - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
tr
SEPA cD
Planning -- U.
t-
Mobile Home t'n
Fire Marshall =
Co. Engineer Other (Specify)
Utilities
TOTAL $ 13 %
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist � THIS BECOMES A PERMIT.
DATE JI-6`71 OFFICIAL �44`YK,M-rd u i 1 1 - 0 6 / 7 7 3 p. 8 s. * 1 5. 0 0 FI
APPROVED FOR ISSUANCE -