1980, 02-27 Permit: 80-1554 Plumbing FixturesPLAN NUMBER
JOB ADDRESS
1.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
AFFLIGAINIT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
/ LEGAL DESCRIPTION - SEE ATTACHED
U 1 ISION PARCEL NUMBER/S
OWNER
orth South
East West
PHONE
3.
Type Const.
Occupancy
Sprinklered
Building
type of work will be complied with whether specified herein or not. T gr ing of it d es not presume
ADDRESS
aluation
Building Area in Sq. Ft.
ZIP
Basement Area
CO NTRACTO
Storage
Split Entry
PF,iON
4.
ADDRESS
�
No. Rooms
ZI
t /
I—
1
Fire Marshall Mobile Home
oa
5.
r
�r
of EXEMPTION
PHONE
Jf
ADDRESS' �
Zone Clearance TOTAL $
ZIP
WHEN MACHINE VALIDATED
SEPA Checklist
IN THIS SPACE,
`\y1 THIS ApPERMIT.
IBECOMES
c��
DATE :a, —'k—'OFFICIAL 1 i1 '� /`—!� 1_'�
CHANGE OF USE FROM
TO
6.
TYPE ^'EW
!
❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF
WORK ❑ BLD.
APLMB. ❑ MECH: ❑ M.H.
❑ OTHER
❑ POOL
DESCRIBE WORK
g
i
equired Set Backs in Feet
Source
of
Utilities
orth South
East West
ize of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
Building
type of work will be complied with whether specified herein or not. T gr ing of it d es not presume
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
Planning SEPA
Fire Marshall Mobile Home
CERTIFICATE
Req'd.
Rec'd.
Not Rec
of EXEMPTION
Utilities
Zone Clearance TOTAL $
FEES COLLECTED
1PPERMIT NUMBER
DATE �CyCJ
O:J* *4550
*45.0
*4550
B *a00
1553
02-27-80
6.479,
VALUATION
9•
Source
of
Utilities
GA
ELECTRIC
WATER
SEWER
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 provisionyewws and ordinances governing this
Building
type of work will be complied with whether specified herein or not. T gr ing of it d es not presume
to give authority to violate or cancel the provisions of any other state I al law r ulati co truction or the
performanc7�-6V
ruc ' nPlumbingDATESIGNATURE—
Mech.
SPECIAL APPROVALS SPECIAL N (TIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning SEPA
Fire Marshall Mobile Home
Co. Engineer
Other (Specify)
Utilities
Zone Clearance TOTAL $
WHEN MACHINE VALIDATED
SEPA Checklist
IN THIS SPACE,
`\y1 THIS ApPERMIT.
IBECOMES
c��
DATE :a, —'k—'OFFICIAL 1 i1 '� /`—!� 1_'�
APPROVED FOR ISSUANCE