1979, 09-20 Permit: 79-4398 DishwasherPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
�y
Req'd.
LEGAL DESCRIPTION - SEE ATTACHED
Not Req'd.
LOT
BLOCK
PARCEL NUMBER/S
2.
8. G!�
I
ISUBDIVISION
Yource
GAS
ELECTRIC
WATER
OWNER;)
_
of
P `
3.
ADDR S
9.
Utilities
ZIP
Required Set Backs in Feet
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
North South
East West
Building
coNTR OR
to or cancel the provisions of any other state or local law regulating construction or the
-
PH NE
Size of Parcel
Zone Classification
4.ADD
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Z —1
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Other (Specify)
Co. Engineer
Utilities
$
TOTAL
Zone Clearance
DESIGNER
THIS BECOMES A PERMIT.
SEPA Checklist
�F
PHONE
uation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
WL Area
[No.
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8. G!�
VALUATION
Yource
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 or cancel the provisions of any other state or local law regulating construction or the
to give authority violate
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
Other (Specify)
Co. Engineer
Utilities
$
TOTAL
Zone Clearance
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
SEPA Checklist
�F
09-2-0-79 9' L 0 — 7 9
DATE AL--
APPR D FOR ISSUANCE
PERMIT NUMBER
DATE
03* *5.50
*5.50
*5.5010
E *0,00
439.7
09-20-79
;? 6.479.
i SPACE,
439.82 *5.50.a-�j