1979, 12-11 Permit: 79-8918 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
7:-
LEGAL DESCRIPTION - SEE ATTACHED
Size of Parcel
r�
4.
AD ESIS
LO
LOCK
SUBDIVIS N
Type Const.
PARCEL NUMBER/S
2.
+
7('
OWNER
PHONE-�lL06
ADDRESS
❑Yes ❑No 1:1 Req'd.
IP
Required Set Backs in Feet
PHONE
North (South (East. West
DESCRIBE WORK FEES COLLECTED
s. /X elft �
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 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 30
Plumbing
performance of construction.
DATE �� SIGNATURE'��_-L"� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
/'--I-ll-- 7 '7
DATE OFFICIAL��)`�OS Q�y�
APPROVED FOR ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMITt'NUMBEiaa
DATE /Z —ll -7l
03* *30.50
*30,50 N
*30:50
E *a00
891.72
12-11-79
6479,
1
TOTAL $ 36
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0i.
CONTRACTOR
/
PH NE
Size of Parcel
Zone Classification
4.
AD ESIS
ZIP
Type Const.
Occupancy
Sprinklered
+
7('
Gey
❑Yes ❑No 1:1 Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE
FROM
TO
Split Entry
Split
Level
Rancher
6.
No. Baths
No. Floors i
No. Rooms
Rec. Room
TYPE ❑ NEW
❑ ALT. ❑ AD -N. ❑ RPL.
❑ MVE.
7,
OF
El BLD.
���rrr
JgPLM6. ❑ MECH: ❑ M. H.
❑ OTHER
POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
s. /X elft �
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 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 30
Plumbing
performance of construction.
DATE �� SIGNATURE'��_-L"� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
/'--I-ll-- 7 '7
DATE OFFICIAL��)`�OS Q�y�
APPROVED FOR ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMITt'NUMBEiaa
DATE /Z —ll -7l
03* *30.50
*30,50 N
*30:50
E *a00
891.72
12-11-79
6479,
1
TOTAL $ 36
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0i.