HomeMy WebLinkAbout1979, 11-13 Permit: 79-7675 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK f /�/; i -' /
8• 1- x to rc 's
APPLICANT:
COMPLETE NUMBERED SPACES —PRESS
HARD TO MAKE 4 COPIES
of
9. Utilities
JOB ADDRESS
1 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
1.
to give authority to violate or cancel the provisions of any other state or I ca regul g co truction or the
/;7&
performance f con truction.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
Mech.
SPECIAL APPROVALS SPECIAL C ITIONS:
DEPT. REQ'D. RECD.
PARCEL NUMBER/S
2.
ISUBDIVISION
Planning
Fire Marshall
Mobile Home
Co. Engineer
OWNER
Utilities
PHONE
3.
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTRACTOR
PI -DONE
Size of Parcel
Zone Classification
S
yW `Y0,22
4'
ADDRESS
ZIP
Type Coniq
Occupancy
Sprinklered
%0(p
❑Yes ❑No ❑ Req'd.
DES+FrA1F$��
pHQNI
Valuation
Building Area in Sq. Ft.
5.
ADD RFSS
ZIP
DWArea
Basement Area
Garage Area
Storage
%
/ /
CHANGE OF .USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE � NEW ❑ALT.
❑ AWN.❑
RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD. 1:1PLMB.
1:1MECH:
ElM.H.
1-1POOLCERTIFICATE
Req'd.
Recd.
Not
Req'd.
WORK
of EXEMPTION
DESCRIBE WORK f /�/; i -' /
8• 1- x to rc 's
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
1 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 gr ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I ca regul g co truction or the
performance f con truction.
Plumbing
DATE SIGNATURE _ w�/
Mech.
SPECIAL APPROVALS SPECIAL C ITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN TH
SEPA Checklist THIS BECOMES A PERMIT.
DATE OFFICIAL '
C3* *40,50
*4050
*4050
B *000
767.4
11-13-79
a 6479
SPACE,
6 7. 5 *,40.50��
0
F—
U
— w
cL
V)
Z
c
PERMIT NUMF3E.\
J,-7� -7(�s
DATE
TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN TH
SEPA Checklist THIS BECOMES A PERMIT.
DATE OFFICIAL '
C3* *40,50
*4050
*4050
B *000
767.4
11-13-79
a 6479
SPACE,
6 7. 5 *,40.50��
0
F—
U
— w
cL
V)
Z