HomeMy WebLinkAbout1980, 06-19 Permit: 80-5983 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
LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCI
2.
OWNER
ADDRESS
/��j CONTRACTOR
l ADDRESS
DESIGNER
5. ADDRESS
SUBDIVISION I PARCEL NUMBER/S
CHANGE OF USE FROM TO
TYPENEW
7, OF
WORK BLD.
PHONE
ZIP
! PHONE
5 ✓ uc7�<Br/ 1
ZIP
PHONE
ZIP
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
���,,,/// El OTHER
1� PLMB. ❑ MECH: ElM.H. ElPOOL
equired Set Backs in Feet
orth South
East West
ize of Parcel
Zone Classification
Type ConsT7
Occupancy
Sprinklered
❑Yes [-]No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
I No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
Rec'd.
Not Rei
of EXEMPTION
DESCRIBE WORK
8. l Vi h A 'e I / e,17 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
Of
9. utilities Single $
I 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. 'ey�`� ^
Plumbing
DATE !P SIGNATURE ���(( Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REO'D- RFC'D_ I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE� �, OFFICIAL
APPROVED FASSU
SEPA
Mobile Home
Other (Specify)-
TOTAL
Specify) TOTAL $
DATE
r
RMIT N*IJMBER
Bo 5 c 8
03* *25.00
1,-2800
*2800
S *000
5982
06-19-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS IEOMA PERMIT.
8.3 0
*28,0001