1980, 08-20 Permit: 80-8891 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
d
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 3 * * 2 & 0 0
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
�� o r —,->;!�
LEGAL DESCRIPTION - SEE ATTACHED
1.
*
28.00
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
*28,00
E * O.O 0
OWNERS
P ON
3.
88902
ADDRFy
ZIP �6
Actual Set Backs in Feet
LL''ss)lCC
North
CONTRACTOR �� t
PH NE
South East West
Size of Parcel Zone Classification
08-20-80
,,, /<
4
_�,�
z 6,479,
ADDRESS %
ZIP '7
�;s�=
Type Const.
Occupancy
Sprinklered
7440le_)
❑Yes ❑No El 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 - AD'N. RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF OTHER
WORK BLD.`}Q PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
/
of EXEMPTION
D CR1BE WORK
$,
Enum. Dist. Location (Area)
FEES COLLECTED
Ownership USE CODE
V LUATION
SOURCE
OF
GAS
ELECTRIC
WATER
SEWER
9.
1 jPublic
[]Private ❑
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Single $
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
00
performance of construction. REVERSE SIDE FOR REQUIRED INSPECTIONS
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Plumbing
C.
"SEE
/ �`'
�
DATE OF APPLICATIONy SIGNATURE OF APPLICAP, '
Mech.
SPECIAL APPROVALSSPECIAL CONDITIONS:
NAME DATE
Env. Hez
Planning
Fire Mar
eer
Utilities
Plans Examiner
n I PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
C,
Other (Specify) C21 ,tea
TOTAL $�`
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 20�-8G 8 8 9,1 z
DATE ISSUED PERMIT NO.
*28.00°-
TOTAL
Y
a
O
U
W
J
LL