HomeMy WebLinkAbout1980, 04-08 Permit: 80-3204 Plumbing FixturesPLAN NUN.SER
APPLICATION/PERMIT � PERMIT NL,40BER��� 3�0
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 11611 'r I
LEGAL DESCRIPTION — SEE ATTACHED
1.
inT I RI.00K I SUBDIVISION I PARCEL NUMBER/S
TYPE Iii NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
WORK ElBLD. X2LMB. ElMECH: ElM.H. ❑ POOL
DESCRIBE WORK
n Feet
Size of Parcel
OWNER
GAS
PHONE
3
Occupancy
Sprinklered
r
ADDRESS
Valuation
ZIP
CONTRA OR
- ,I7
��
PHONE
4.
AD R"SS
ZIP
� (f/1 � yC
Split Level
�
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
PONE
No. Baths
No. Floors
No. Rooms
61 .-
5.
ADD S�
ZIP
CERTIFICATE
Req'd.
Not Re
of EXEMPTION
DATE SIGNATURES
-71
Mech.
CHANGE OF USE FROM
TO
6.
DEPT. REQ'D. RECD.
Plan Check
TYPE Iii NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
WORK ElBLD. X2LMB. ElMECH: ElM.H. ❑ POOL
DESCRIBE WORK
n Feet
Size of Parcel
Zone Classification
GAS
ELECTRIC
Type Const.
Occupancy
Sprinklered
r
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
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
No. Baths
No. Floors
No. Rooms
Rec. Room
to give authority to violate or cancel the provisions of any other state or I c I regu cons ction or the
CERTIFICATE
Req'd.
I Rec'd.
Not Re
of EXEMPTION
DATE SIGNATURES
-71
Mech.
FEES COLLECTED
03* *35.50
35,50
*35.50"
E *0,0ci c�
32039
04-08-80
;2 6,479.
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 gr tin of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I c I regu cons ction or the
performanceo cons ruction.
Plumbing
DATE SIGNATURES
-71
Mech.
SPECIAL APPROVALS
SPECT NDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health -�
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
i
F,
Utilities
TOTAL $ ✓ `
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
--�
DATE y![_�! OFFICIAL
APPROVED FOR ISSUANCE
*35.51`j°r