HomeMy WebLinkAbout1980, 06-19 Permit: 80-6004 Plumbing FixturesPLA" 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
1. //7''~ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
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
OWNER
type of work will be complied with whether specified herein or not. The r ng of a permit does not presume r
to give authority to violate or cancel the provisions of any other state or oc I w regulating const tion or the
PHONE
Plumbing 436,
performan a cons76,
3.
SPECIAL APPROVALS SPECIAL
71TIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
ADDRESS
Planning
Fire Marshall Mobile Home
ZIP
Required Set Backs in Feet
r
Utilities
e
TOTAL $
Zone Clearance
North South
East West
CONTR TOR
j
DATE a0DFFICIAL
j
P�H/ONJI
Size of Parcel
Zone Classification
4.
s
ZIP
Type Const.
IADDR Occupancy
Sprinklered
c i
7 /
❑Yes ❑No ❑ Req'd.
1�.
PHONE
Valuation
Building Area in Sq. Ft.
e.
5.
ADDRESP
ZIP
DWL Area
Basement Area
Garage Area
Storage
D
CHANGE OF USE FROMT
!i
Split Entry
Split
Level
Rancher
6.
I
TYPE EW
El ALT.
[IAD'N.
1-1 RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF
❑ BLD.
I 'IPLMB.
❑ MECH:
❑ M.H.
❑ OTHER
❑POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8 / 1 X I a- t— C, FEES COLLECTED
PERMIT NUMBER
P�
DATE
C u.
6, 0
6C0.3
0
66.79,
VALUAIIUN
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 laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The r ng of a permit does not presume r
to give authority to violate or cancel the provisions of any other state or oc I w regulating const tion or the
Plumbing 436,
performan a cons76,
DATE SIGNATURE -71 Mech.
SPECIAL APPROVALS SPECIAL
71TIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
r
Utilities
e
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE a0DFFICIAL
APPROVED
APPROVED FOR ISSUANCE