HomeMy WebLinkAbout1979, 07-23 Permit: 79-898 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
-
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
Source
I"-4
ELECTRIC
LEGAL DESCRIPTION —SEE ATTACHED
SEWER
of
L
OCK
SUBDIVI IONS
Utilities
PARCEL NUMBER/S
2.
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
OWNE
y
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
PHONE
Plumbing
3.
a2
'
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.-�.I�
ADDRESS
r t
Env. Health
ZIP
Required Set Backs in Feet
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
North South
East West
CO TRACTOR
PHONE
Size of Parcel
Zone Classification
,ems
4'
ADDRESS
�
o
+
ZIP
Type Const. I
Occupancy
Sprinklered
❑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.
TYPE �EW
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
El ALT.
1:1AD'N. El RPL.
ElMVE.
1:1 OTHER
❑ BLD.
r�
XZLMB.
❑ MECH: ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
-
FEES COLLECTED
8 r
.i 0
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
performance of construction.
'
Plumbing
�P
DATE _� SIGNATURE �`-�
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.-�.I�
'� I �%
f I v `
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATE
PERMIT NUMBER
03* *21300
*2000 '5-
2 a 0 0 6 213006
A *Q00 0
89.7
07-23-79
@ 6,479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE
THIS BECOMES A PERMIT.
'79
DATE OFF IA
73�APPR ED FOR ISSUANCE