HomeMy WebLinkAbout1980, 08-26 Permit: 80-9196 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 3 COPIES
JOB ADDRESS yh` LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK BDI I ION PARCEL NUMBER/S
2.
ERS Z PHONE
3
ADDRESS
ZIP
Actual Set Backs in Feet
f
North South
East West
CONTRACTOR )
PHONE
Size of Parcel
Zone Classification
— 21
4. ADDRESSZIP
~
Type Const.
Occupancy
Sprinklered
fn ' /
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW 1-1 ALT. ❑ AWN. El RPL. El MVE.
7, OF ❑ OTHER
❑BLD. �PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK
of EXEMPTION
D SCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
�;
8
VA ATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. 1UTILITIOFES1
I
I
I
Public ❑Private ❑
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��r
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
1
�
j)OMkf4d f'
Mach.
DATE OF APPLICATION SIGNATUREOF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
NAME DATE
Env. Health
SEPA
Planning
Fire Marshall
Engineer
Plans Examiner
g Technician PERMIT IS NONTRANSFERABLE
/ f PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify) -f 1
TOTA L $33, L1 (0
P IPERMIT NUMBER
'o -9 / g(�,
03* *33.00
*33.00
*3300U
E *000 COD
919,10,
08-27-80
6.479.
d
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT N AL