1979, 07-06 Permit: 79-146 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 0 -7-k>F Ila 1 ,�. LEGAL DESCRIPTION - SEE ATTACHED
3
LOT I IVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. u
ADDRESS L ! Zy jSaZ
Z O2 Required Set Backs in Feet
` � Iled North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. I Occupancy Sprinklered
_ [--]yes ❑No ❑ Req'd.
p----,yF-R PHONE Valuation Building Area in Sq. Ft.
5.ADDRESS l ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW ❑ ALT. ElAD'N. El RPL. ElMVE.
7, OF "K ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK 11 BLD. PLMB. ❑ MECH: ❑ M.H. ElPOOL
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8.
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
performance of construction.
Plumbing
DATE =�_ /�/ SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning ` L - I d
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
DATE
_
PERMIT NUMBER
7�- 1+�
C3* *2x00
*21300 N
1 4.5 2
07-06-79
;@ 6,479.
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist L
DATE OFFICIAL 0 7- 0 6— 7 9 14. 6 2 * 2 8. 0.0 a
APPROVED FOR ISSUANCE