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HomeMy WebLinkAbout1979, 08-14 Permit: 79-2156 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT , PERMITtiJ(JMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT �> "7� � � NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /4“6.“CT. lig / < APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 03* * 3Q50 JOB AS�D RESS �d LEGAL DESCRIPTION — SEE ATTACHED 1. G /,q/S 2� C r * 3 0,5 0 , ' LOT BLOC SUBDIVISION PARCEL NUMBER/S * 3 Q 5 0 v 2. A OWNER PHONE *0 0 0 0 3. ,� A ta4r/C- C©NSTRexC-77ON 2 5 ADDRESS Q ZIP Required Set Backs in Feet ��6 . 43d u o� North (South East IWoest 0 8— 1 4—7 9 CONTRACTOR PHONE Size of Parcel Zone Classification 4. /LIVZ3 PtvW 4t !41 a-- 46f:397 6. 97/ 2 479, ADDRESS `/ �y^� f 1 c /� ZIP/1 ry p� Type Const. Occupancy Sprinklered 71 3 / W t.7c44 / � r4ZO La ❑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. 0 MVE. 7, OF 0 OTHER WORK 0 BLD. A,PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK 8. �(/ 1/X rafe.,gf 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 50 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the 36)• performance of construction. Plumbing DATE SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health cc SEPA p Planning _ IIIw d Mobile Home Fire Marshall z Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist r v• THIS BECOMES A PERMIT. DATE /1 ii A OFFI - 0 8 - 14 7 9 1 5,6 * 3 a 5 00 a - AP"I ! OR ISSUANCE _