1980, 07-21 Permit: 80-7418 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
1.
t� //O,:� _?,7d
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3 ADDRESS ZIP Required Set Backs in Feet
North (South (Fast (West
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION
9,
CONTRA OR)
GAS
ELECTRIC
PHONf�{j
Size of Parcel
Zone Classification
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 o a aw regula ing co truction or the
4.
ADDRESS
Plumbing
performance f consuctiion.
7%& r SIGNATURE
ZI
Type Const.
Occupanc y
Sprinklered
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
[1yes [-]No El Req'd.
�'* f i
Fire Marshall
Co. Engineer
Other (Specify)
PHONE
Valuation
Building Area in Sq. Ft.
5.
AD E S
ZIP
OWL 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
El BLD. I1PLMB.
❑ MECH: ElM.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION
9,
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 o a aw regula ing co truction or the
Plumbing
performance f consuctiion.
7%& r SIGNATURE
DATE (��
Mech.
SPECIAL APPROVALS SPECIAC NDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATE OF CIAL
APP R ►SSUANCE
DATE
PERMIT NUMBER
elc>` 74 -
02* *30.50
*30,50
*3C.50c
E *C.00
741,7-9
07-21-80
2 6479,
r
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PE�'1RMIT.
i
*r3C. ,0 " 5 O_ _ i
�r