1980, 04-21 Permit: 80-3706 Plumbing FixturesPLAN 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
� B ADD � SS � -H LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
DESCRIBE WORK -t
8. , 1V S rA L L_ p t u r<1 I3 N 6 i N A U f' L E X /4S 06-P- 8/ rJ 6 �) T(/ G -C—
VALUATION
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, 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 4-3,00
performance of construction. Plumbing
DATE— v11 w O U SIGNATURE `=� "' v Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
nFPT Ppoln P F r'r) I I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
IC FkXTU2ES
SEPA Checklist
DATE T 2/ n OFFICIAL C
APPROVED FSSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
So�d�
DATE 4I�
0,3 *43.00
*43.00
tn-
4
E*0.00
37a52
04-21-80
z 6479,
TOTAL $ A3 ,C�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS 4'2 l B 0 MIT. .7 n L z
*43,00°[
OWNER
Se %0
PHONE
(7 9
3.
-k'14
ADDRESS
ZIP
Required Set Backs in Feet
�1 /� y� j,,,
�/'vct-LSC-j �(�"►"^��'
'`Q
�V%�
y J
� � �
i
36I'S Ea St 01 !
l O
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
6 I N G
8 �'a 14 £�
4.
ADDRESS
[
S., t6 ` S fevens Spc k4:,A,
! t?bF
tact Z'1
ZIP
n
L scHii�
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
J.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split
Level
Rancher
6.
/
TYPE R NEW El ALT. ❑ AD'N.
❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7.
OF
❑ BLD. ❑PLM B. ❑ MECH:
❑ M.H.
❑ OTHER
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK -t
8. , 1V S rA L L_ p t u r<1 I3 N 6 i N A U f' L E X /4S 06-P- 8/ rJ 6 �) T(/ G -C—
VALUATION
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, 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 4-3,00
performance of construction. Plumbing
DATE— v11 w O U SIGNATURE `=� "' v Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
nFPT Ppoln P F r'r) I I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
IC FkXTU2ES
SEPA Checklist
DATE T 2/ n OFFICIAL C
APPROVED FSSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
So�d�
DATE 4I�
0,3 *43.00
*43.00
tn-
4
E*0.00
37a52
04-21-80
z 6479,
TOTAL $ A3 ,C�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS 4'2 l B 0 MIT. .7 n L z
*43,00°[