1979, 08-20 Permit: 79-2518 Lawn SprinklerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
�C– Gf�tiC/ FEES COLLECTED
8
VALUATION Source AS 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 Plumbing �—
performance of construction.
DATE SIGNATURE— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
SEPA Checklist G —2 O _ 9
n
DATE 9 , / OFFIC
APPR VER ISSUANCE
PERMIT NUMBER
DATE �� 7
p * *550
*55p
*55010
E *0.00
251.72
08-20-79
:2 6.479,
N
N THIS SPACE,
251,82 *5.5p °�
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 5_165?LEGAL
DEESCRIFTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2
OWNER,j
PHONE
02 �/ 7
3.
ADDRESS
ZIP
Required Set Backs in Feet
/
North South
East West
C NT
PHONE
Size of Parcel
Zone Classification
7]Valuation
4.
ADD S
ZIP
Type Const.
Occupancy
Sprinklered
(/
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area
Basement Area
Garage Ar;7T
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N.
❑ RPL.
❑ MVE.
7,
OF��y�–�////
El BLD. qp PLMB. ❑ MECH:
[IM.H.
El
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK /V
of EXEMPTION
DESCRIBE WORK
�C– Gf�tiC/ FEES COLLECTED
8
VALUATION Source AS 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 Plumbing �—
performance of construction.
DATE SIGNATURE— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
SEPA Checklist G —2 O _ 9
n
DATE 9 , / OFFIC
APPR VER ISSUANCE
PERMIT NUMBER
DATE �� 7
p * *550
*55p
*55010
E *0.00
251.72
08-20-79
:2 6.479,
N
N THIS SPACE,
251,82 *5.5p °�