1979, 09-04 Permit: 79-3337 DuctworkPLAN 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 4 COPIES
JOB ADDRESS
.,, �/ J Z.�- 1 LEGAL DESCRIPTION - SEE ATTACHED
0
PERMIT NUMBER
DATE
04* *7.00
*7.00
*7,006
E *Q00
333.61
09-04-79
;F 6479,
9, Utilities I 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 cal law erlat�inZnstruction or the
performance of construction. Plumbing /
�[ �( , J `1
DATE " 7Z SIGNATURE (' r'4 Mech. ;,
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
i
Co. Engineer Other (Specify)
Utilities TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATEOFFICIAL.��///0 9- 014' 7 9 53 3.7 Z
APPROVED FOR ISSUANCE
*7.00°
OWNER.
PHONE
3.
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
C TRACTOR
_
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑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. Roo m
TYPE El NEW ❑ALT.
ElAD'N. El RPL.
ElMVE.
7.
OF
❑ BLD. ❑ PLMB.
A MECH: ❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBEL ORK+
n
FEES COLLECTED
8.
%lG '
VALUATION
So
ce
GAS
ELECTRIC
WATER
SEWER
of
PERMIT NUMBER
DATE
04* *7.00
*7.00
*7,006
E *Q00
333.61
09-04-79
;F 6479,
9, Utilities I 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 cal law erlat�inZnstruction or the
performance of construction. Plumbing /
�[ �( , J `1
DATE " 7Z SIGNATURE (' r'4 Mech. ;,
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
i
Co. Engineer Other (Specify)
Utilities TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATEOFFICIAL.��///0 9- 014' 7 9 53 3.7 Z
APPROVED FOR ISSUANCE
*7.00°