1979, 07-11 Permit: 79-346 Plumbing Fixturesr
AN NUMBER
7=
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION =utIflces
GAS--j ELECTRIC WATER SEWER
9. 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 Plumbing A5Z>
performance of construction.
DATE (— l ' SIGNATURE - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE OFFICIAL (2�Aeaf�t-
APPROVED
FOR ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
DATE r
03* * 1 0.50
3 4, 5
07-11-79
-2 6,479.
TOTAL
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES,A PERMIT.
07-11-79
-M - G,
54623 *10.500a'
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIts
JOB ADDREASS _
LEGAL DESCRIPTION — SEE ATTACHED
1
LOT
BL�O,�
SUBDIVI ION
PARCEL NUMBER/S
2.
OVER
PHONE
3.
fro v fiC
612p
ZIP
Required Set Backs in Feet
ADDRESS -�
North South
East West
CONTR C -COR
PHONNE//
Size of Parcel
Zone Classification
4'
ADORES
ZIP �., e
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
(J
PHONE
Valuation Building Area in Sq. Ft.
DESIGNER
5.
ZIP
DWL Area
Basement Area
Garage Area
Storage
ADDRESS
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW El ALT. � AD'N. El RPL.
El MVE.
7,
OF ///A`
❑ BLD. PLMB. ❑ MECH: ❑ M. H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
WORK IV
of EXEMPTION
DESCRIBE WORK "
FEES COLLECTED
8.
�� GGa4
VALUATION =utIflces
GAS--j ELECTRIC WATER SEWER
9. 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 Plumbing A5Z>
performance of construction.
DATE (— l ' SIGNATURE - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE OFFICIAL (2�Aeaf�t-
APPROVED
FOR ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
DATE r
03* * 1 0.50
3 4, 5
07-11-79
-2 6,479.
TOTAL
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES,A PERMIT.
07-11-79
-M - G,
54623 *10.500a'