1979, 07-23 Permit: 79-1306 Mechanical FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK _
FEES COLLECTED
APPLICANT:
COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
SEWER
9.
of
Utilities
.
Single $
LEGAL DESCRIPTION — SEE ATTACHED
1
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
LOT
BLOCK
SUBDIVISION
performance of construction.
Plumbing
DATE.__, SIGNATURE_`'
PARCEL NUMBER/S
2.
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
OWNER
PHONE
Planning
e
Mobile Home
Fire Marshall
Other (Specify)
3.
Utilities
TOTAL $
Zone Clearance
ADDRESS
ZIP
SEPA Checklist
Required Set Backs in Feet
THIS BECOMES A PERMIT.
0 7-3 1 - 7 9
D ATE ", OFFI��
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4'
y h
ADDRESS I
ZIP
Type Con;Tj
Occupancy
Sprinklered
-0 'fiMt
3
�7QZQ 7
❑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.
TYPE NEW
El ALT.
ElAD'N. 1:1RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
El
1:1BLD.
❑ PLMB.
IIMECH: ElM.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK _
FEES COLLECTED
DATE
PERMIT NU BER
`T/
04* *1500
*1500 tn-
*1500.
A *a00 d
13059
07-31-79
2 6479,
i SPACE,
130,62
*15.00°
VALUATION
Source
GASELECTRIC
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
performance of construction.
Plumbing
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
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAT
SEPA Checklist
7
THIS BECOMES A PERMIT.
0 7-3 1 - 7 9
D ATE ", OFFI��
DATE
PERMIT NU BER
`T/
04* *1500
*1500 tn-
*1500.
A *a00 d
13059
07-31-79
2 6479,
i SPACE,
130,62
*15.00°