1979, 12-31 Permit: 79-9660 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING -eODES 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
. i -'7
K�aiicinni !I PARCEL NUMBER/S
2.
L T
orth South
East West
OWN
3
9
ADDRESS
Occupancy
E. /2-9
CONTRACTO
4'
'aluation
Building Area in Sq. Ft.
ADD%R ESS
1L /tea 7
Garage Area Storage
DESIGNER
5'
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ADDRESS
Y k
kk
A/ /
iC[ 0
Zlj?v �lL
PHONE
2 -
PHONE
ZIP
CHANGE OF USE FROM TO
6
TYPE NEW ❑ ALT. 13 AWN. ❑ RPL. ❑ MVE.
7, OF ❑OTHER
WORK ❑ BLD. XPLMB. ❑ MECH: ❑ M.H. ❑ POOL
DESCRIBE WORK
8.
equired Set Backs in Feet
Source
orth South
East West
ize of Parcel
Zone Classification
9
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
'aluation
Building Area in Sq. Ft.
DWL Area Basement Area
Garage Area Storage
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 sta�Iocallw reguating const tion or the
Split Entry
Split Level
Rancher
2— L /
SIGNATURE
Mech.
No. Baths
No. Floors
No. Rooms
Rec. Room
SPECIAL CONDITIONS:
Plan Check
DEPT- REQ'D.
CERTIFICATE
Req'd.
Recd.
Not Re,
of EXEMPTION
sCi /�% n
. 2- " — Vi V0
SEPA
Planning
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9
of
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 sta�Iocallw reguating const tion or the
Plumbing
performance of construction.
2— L /
SIGNATURE
Mech.
DATE `
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
DEPT- REQ'D.
RECD.
Env. Healtht
sCi /�% n
. 2- " — Vi V0
SEPA
Planning
Mobile Home
Fire Marshall
,y
Ot r (Specify) �v
Co. Engineer
$
Utilities
TOTAL
Zone Clearance
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
SEPA Checklist
DATE - OFFICIAL
APPROVED FOR ISSUANCE
PERMIT NUMBER
--�- � (o (off
DATE 2—r—If
f
03* *13.00
*13.00 U
*
13006
E *0.00
965,92
12-31-79
2 4479,
IN THIS SPACE,
I.
Elf
O
F—
C-7)
LU
tZ
z