1980, 08-13 Permit: P80-8450 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT +'ERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT`S �.�.
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 BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
ADDR7,j I ZIP Actual
Actual Set Backs in Feet
1 �y � j 2 �� North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS 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 Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE El NEW 1-1 ALT. ❑ AD'N. 1:1 RPL. El MVE. No. Baths No. Stories No. Rooms No. of Dwellings
7, OF ❑ OTHER
WORK ❑ BLD. ,pn PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 ,� FEES COLLECTED
VALUATION SOURCE GAS ELECTFNC W ER SEWER
Ownership USE CODE
9. 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /�, Plumbing
DATE OF APPLICATION 9`J h — S*l! SIGNATURE OF APPLICAN X ►i" 4'llt tw I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
s Examiner
a
ician I PERMIT IS NONTRANSFERABLE
' ° "' `z PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $.
03* *33,00
*33,00 N
*33.00
A *a00
844,92
08-13-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08,-x. `-80 845.02
DATE ISSUED PERMIT NO.
+�3i000FJ _
TOTAL