1979, 10-15 Permit: 79-6015 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
n PER-7Mit NUMBER
.�
TU / �J(OCdN
DATE A)—/5 2?
03* *30.50
*3a50
*30.50
E *0.00
601,42
10-15-79
2 6479. t
DESCRIBE WORK
x 1ue�3
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1
JOB ADDRESS.
J
/1(01-7
36 91 �
LEGAL DESCRIPTION — SEE ATTACHED
SEWER
LOT
of
I ISIO
PARCEL NUMBER/S
z.
I
9,
utilities
OWNER /
PHONE
s.
Single $
o ns.
T
- 24/3
ADDRESS
Building
ZIP
Required Set Backs in Feet
to give authority to violate or cancel the provisions of any other state r oc I law regulatin construction or the
/(7,&o
performance of const ction.
North South East West
cor�ta o lei
-T tvee — ti�
PHONE
Size of Parcel
Zone Classification
4.
AD R SS
Plan Check
I
(.�
ZIP
Type Const.
Occupancy
Sprinklered
Dyes [-]No ❑ Req'd.
Planning
Mobile Home
.3 �� �✓
Other (Specify)
Fire Marshall
Co. Engineer
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
Utilities
TOTAL $ ✓
Zone Clearance
5'
ADDRESS
-7q....... I& �a O , .�'� ��� .
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
ElALT.
❑ AD -N. El RPL. ElMVE.
7,
OF
❑ BLD.
�PLMB.
El OTHER
El ❑ M.H. ElPOOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK
of EXEMPTION
n PER-7Mit NUMBER
.�
TU / �J(OCdN
DATE A)—/5 2?
03* *30.50
*3a50
*30.50
E *0.00
601,42
10-15-79
2 6479. t
DESCRIBE WORK
x 1ue�3
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 gra ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state r oc I law regulatin construction or the
/(7,&o
performance of const ction.
Plumbing
DATE r SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ -D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
.3 �� �✓
Other (Specify)
Fire Marshall
Co. Engineer
��
Utilities
TOTAL $ ✓
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
-7q....... I& �a O , .�'� ��� .
THIS BECOMES A PERMIT.
10 -,15 - 7 9
:) CI 1.5
SEPA Checklist
uraiv•..- wrriwr- —
APPROVED FOR ISSUANCE
*30.5OaF'