1979, 07-24 Permit: 79-946 Lawn Sprinkler PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 7
SPOKANE COUNTY — BUILDING CODES DEPARTMENT — C°
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE July 24, 1979
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 03* *5 5 0
JOB ADDRESS *550 to
20th COURT, E. 16416 LEGAL DESCRIPTION — SEE ATTACHED Y
1 LOT BLOCK SUBDIVISION PARCEL NUMBER/S *550 6
2. A *GOO 0
OWNER PHONE 9 Q,5
3 KEITH KELLERMAN 924-2299
ADDRESS ZIP Required Set Backs in Feet 07-24-7 9
North !South East (West
CONTRACTOR SAMF PHONE16 Size of Parcel Zone Classification I 6 4 7 9.
EVERGREEN LAWN SPRINKLER CO. 535-4777
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 5301 Broadway 99?11 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. ..
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK- ❑ BLD. [X PLMB. 0 MECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. LAWN SPRINKLER FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, utilities
Single $
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
performance of construction. Plumbing 5 50
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA `D
Planning 'J
— w
Z
Mobile Home `"
Fire Marshall —
Co. Engineer Other (Specify)
Utilities 5.50
TOTAL $
Zone Clearance
i• WHEN MACHINE VALIDATED IN THIS SPACE,
\ r
SEPA Checklist THIS(BE7COMES A P7ERMIT. 6
DATE 7�� 1 OFFICI` `h. _ U t _ _ 1 G
�J
9 6 z * ). 5 0
APPROVEr CR ISSUANCE —