1980, 07-01 Permit: 80-6529 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPEo. loors No. Rooms Rec. Room
EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF,�y 11OTHER
WORK I BLD. �PLMB. ❑ MECH: ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
(
DESCRIBE WORK of EXEMPTION
8.
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
I 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
performance of construction. Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DAT OFFI
APPROVED FOR ISSUANCE
Plan Check
SEPA
DATE
PERMIT NUMBER
03* *280
*28,00
*2R00�
B *0,C,C.
6528.
07-01-80
6479.
Mobile Home
Other (Specify)
TOTAL$
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07,_011 80 o`),,0
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
le
0,-775(
LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
OWNER��.
PHONE
3.
,r�q.Kle
ADDRESSSa
ZIPRequired
�PA��
Set Backs in Feet
CONTR CTOR
PHONE
North South
Size of Parcel
East West
Zone Classification
4.
�'M�i
3%l
ADDRESS
,-o
s
ZIP G
Type Const.
Occupancy
Sprinklered
/�/`C'GV
%�
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation#Area
lding Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Baserage
Area
Storage
CHANGE OF USE FROM
TO
Split Entryl
Rancher
6.
No Baths N
F
TYPEo. loors No. Rooms Rec. Room
EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF,�y 11OTHER
WORK I BLD. �PLMB. ❑ MECH: ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
(
DESCRIBE WORK of EXEMPTION
8.
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
I 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
performance of construction. Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DAT OFFI
APPROVED FOR ISSUANCE
Plan Check
SEPA
DATE
PERMIT NUMBER
03* *280
*28,00
*2R00�
B *0,C,C.
6528.
07-01-80
6479.
Mobile Home
Other (Specify)
TOTAL$
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07,_011 80 o`),,0