1980, 01-24 Permit: 80-542 Plumbing FixturesPLAN NUMBER
APPLICA, 771�,1N/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 LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
'y
NEW El ALT. 1:1AD'N. El RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
:quirecl Set Backs in Feet
OWNER,
PHONE
East West
C�C,.
Zone Classification
3.
WATER
Type Const.
Occupancy
ADDRESS
r
ZIP
CO TRACTOR
PHONE
E
4'
DWL Area
Basement Area
Garage Area
DRESS
ZIP
Split Level
Rancher
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
DESIGNER
PHONE
5.
No. Floors
No. Rooms
Rec. Room
ADDRESS
ZIP
SPECIAL APPROVALS SPECIAL CONDITIONS:
CHANGE OF USE FROM
TO
Req'd.
6.
Not Re
of EXEMPTION
'y
NEW El ALT. 1:1AD'N. El RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
:quirecl Set Backs in Feet
FEES COLLECTED
)rth South
East West
ze of Parcel
Zone Classification
ELECTRIC
WATER
Type Const.
Occupancy
SPrinklered
of
Utilities
❑Yes ❑No ❑ Req'd.
rluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
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 'l ')
No. Baths
No. Floors
No. Rooms
Rec. Room
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
CERTIFICATE
Req'd.
Recd.
Not Re
of EXEMPTION
Planning
DATE
SCRIBE WORK
8.
FEES COLLECTED
VAC TI N
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
Utilities
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 give authority to violate or cancel the provisions of any other state or local law regulating construction or the 'l ')
performance of construction. /7 Plumbing J
/ r t�r
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.( Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
r'
Cin
Co. Engineer Other (Specify)
i
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THI
SEPA Checklist THIS BECOMES APERMIT.
'i E
DATE O ILIAL
AP ED FOR ISSUANCE
PERMIT,)VUMBER
03* *10.30
*10,30
*10.50
E *0.00
541
01-24-80
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