1979, 11-07 Permit: 79-7455 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION SO(4ce 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
performance of construction. �j Plumbing
DATE SIGNATURE �7J _ Mech.
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
t7 W L
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� Srv't
8 "k-10 U
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kJ 60AW
/f-7-7 9
DATE OFFICIAL
APPROVED FOR ISSUANCE
Plan Check
SEPA
PERMIT NUMBER
— S�
DATE //�� /.,J�
03* *38.00
*38..00
*3&00
B *0.00
745.42
11-07-79
9 6, t -L
Mobile Home
c c�
Other (Sped yl
LC -'1 0
TOTAL $„��
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r
APPLICANT:
COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
514 �p2.
LOT
BLOCK
PARCEL NUMBER/S
ISUBDIVISFON
OWNE —
PHONE
3
ADD S
ZIP
Required Set Backs in Feet
North South
East West
CONTRAjC7OR
PHONE
Size of Parcel
Zone Classification
-:3y23
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Z,d C)3
� ,
❑Yes ❑No ❑ 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 No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF
❑ OTHER
❑ BLD. ❑ PLMB.
❑ MECH: ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION SO(4ce 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
performance of construction. �j Plumbing
DATE SIGNATURE �7J _ Mech.
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
t7 W L
i
` C>
� Srv't
8 "k-10 U
. AIM-3ot
kJ 60AW
/f-7-7 9
DATE OFFICIAL
APPROVED FOR ISSUANCE
Plan Check
SEPA
PERMIT NUMBER
— S�
DATE //�� /.,J�
03* *38.00
*38..00
*3&00
B *0.00
745.42
11-07-79
9 6, t -L
Mobile Home
c c�
Other (Sped yl
LC -'1 0
TOTAL $„��
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r