1980, 08-07 Permit: P80-8251 Plumbing FixturesLAN NUMBER
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
E. 14921 - 17th Ct. (Job No. 144)
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
3.
OWNER
Dick Reeves
PHONE
928-3610
PARCEL NUMBER/S
ADDRESS
P.O. Box 14217, Spokane, Wash.
ZIP
99214
Actual Set Backs in Feet
North 'South East (West
CONTRACTOR
Miller's Plumbing
PHONE
483-2025
Size of Parcel 1 Zone Classification
ADDRESS
623 E. Liberty, Spokane, Wash.
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
u ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
OF
WORK
XIX NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
O MVE.
O POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
3. Plumbing installation, SFR, New Construction
Enum. Dist.
ILocation (Area)
VALUATION SOURCE
OF
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
pn 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 8-07-80 SIGNATURE OF APPLICANT �' KIjA:
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
14 Fixtures @ $2.50 ea. + $3.00 permit fee = $38.00
Please inspect rough -in installation on Friday,
August 8, 1980.
Thank you, David & Rosie Miller
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing 35.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) 3.00
Fee
TOTAL $ 38.00
PERMIT NUMBER
03* *3800
*3800
*38006
E *0.00
825.0
08-07-80
61i.79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-07!
825.15 *38,00, F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
›-
-J J
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