1980, 08-13 Permit: P80-8452 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
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BL K ISUBDIVI51CINPARCEL NUMBER/S
2.
O NER PHONE3.
DRESS
ZIP
Actual Set Backs in Feet
North South
East West
Cp�'A'1NTRAC OR
PHONE
Size of Parcel
Zone Classification
4' RESS i�'y
ZIP
Type Const.
Occupancy
Sprinklered
Dyes [-]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
N(Y. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF El OTHER
❑ BLD. 4 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
�
FEES COLLECTED
8 i. (�
I
VA UATION
SOURCE
GAS
ELECTRIC
WAT1 RT
SEWER
Ownership
USE CODE
9.
I UTILOITIES
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
%I j
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing c_
rIATC (1C ADD 11/"ATIlIAI C1-1ATI IMM — AnnI Il ASIT .z'�/}/ .i\e ..•1.,'Y;/\ /� lu^ _ w JCS
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
6u�lding Te&)Dicianr
7r n DZ, J,, . _J I _, 7,
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify) ! .
TOTAL $ t 3=
P6-khA1T NUMBER
03* *33.00
*33.00 N
*33.006
A *0.00
845,1.2
08-13-80
. 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE U _�1,; !—Flo
F, 4 5, 2 0 * 3 7j 0 0' a F
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