1979, 09-24 Permit: 79-4520 Sprinkler SystemPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
P 1 PERMIT NUMBER
--79 -�
DATE 9-21-79
03* *5.50
*550
*5.506
E *a00
451.92
09-24-79
;F 6,479,
VALUATION
9.
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
ELECTRIC
JOB ADDRESS
SEWER
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LEGAL DESCRIPTION — SEE ATTACHED
1.
E. 10811 25th
to or cancel the of any other state or local law regulating construction or the 5.50
to give authority violate provisions Plumbing
LOT
BLOCK
SUBDIVISION
SPECIAL APPROVALS SPECIAL CONDITIONS:
PARCEL NUMBER/S
2.
Env. Health
I
SEPA
Planning
Mobile Home
OWNER
Other (Specify)
PHONE
928-6971
Utilities 5-50
$
Dave Revell
TOTAL
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
3
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Rain -Matic Sprinkler. System
926-9 8
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
N. 527 Barker Greenacres,
WA
99016
❑Yes [-]No El 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 11 NEW El ALT.
ElAD'N.
El RPL.
ElMVE.
7,
OF❑
❑ BLD. El PLMB.
❑ MECH:
❑ M.H.
OTHER
POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8.
Sprinkler System
P 1 PERMIT NUMBER
--79 -�
DATE 9-21-79
03* *5.50
*550
*5.506
E *a00
451.92
09-24-79
;F 6,479,
VALUATION
9.
Source
of
utilities
GAS
ELECTRIC
WATER
SEWER
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 granting of a permit does not presume
to or cancel the of any other state or local law regulating construction or the 5.50
to give authority violate provisions Plumbing
performance of construction.
DATE SIGNATURE _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities 5-50
$
TOTAL
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist /' �!'%'' THIS B COMES A PERMIT.
01 -'-24-1 9
52,02
I DATE C�L�OFFICIH
APPR D FOR ISSUANCE
*5.5000