1980, 08-12 Permit: 80-8446 Plumbing FixturesNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
I nT I BLCC�� isb-6661VISION PARCEL NUMBER/S
PVVNER
PHONE
3.
((//,9
ZIP
Gl
Actual Set Backs in Feet
North South
East West
^AQDRESS
NTRAC O
E
Size of Parcel
Zone Classification
7PHONC
. 2,V <:
4, DDRESS
ZIP
Type Const.
Occupancy
Sprinklered
AlrooDESIGNER �) f
c� -7
I
❑Yes ❑No El Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area I
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
6
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE 1:1 NEW 1-1 ALT. El AD'N. ❑ RPL. 1-1 MVE.
I
7. OF El OTHER
ElBLD. � PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
D SCRIBE WORKEnum. Dist. Location (Area)
FEES COLLECTED
8. 1
VALUATION SOURCE GAS E EC RIC ATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
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
local law regulating construction or theme
to give authority to violate or cancel the provisions of any other state or
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
_ A (y �D
DATE OF APPLICATION f{4� SIGNATURE OF APPLICANT P �:.l�t�C1�,�lsa C� ��
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
f� PERMIT NUMBER
03* *33.00
*33.00
*33.00
A *0.00 U
844,52
06-13-80
6479.
4
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
V8-4�pi3IL81 8 4A6 z
DATE ISSUED PERMIT NO.
TOTAL