1980, 02-21 Permit App P80-1428 Plumbing FixturesPLAN JVUMBER APPLICATION/PERMIT `*P PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 2 0
JOB ADDRESS OJ* *2800
f LEGAL DESCRIPTION — SEE ATTACHED *2R00 ul
LO I I B K I bUbUl V ISI ON PARCEL NUMBER/S *28006
2.
OWNER 0 PHONE E *000 8
3. r
ADDRE S ZIP Required Set Backs in Feet 1 427@
1 I-r,e A zZ0 rte North South East West 02-21-80
CONTR CTOR �]++ONE Size of Parcel Zone Classification
cr%e 7,zSf 3 6479.
4' ADD19 S ZIP / Type Const. Occupancy Sprinklered
/Y /�� �L�L�/( C/ -Lt rL� D�f� ❑yes ❑No ❑Req'd.
D•E9fGIQ6F2 PHON i Valuation Building Area in Sq. Ft.
5. ADD(t E$$ 1P OWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
No. Baths No. Floors No. Rooms Rec. Room
TYPE rn�-EW rr❑� ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 WORK C�BLD. N.PLMB. ❑ MECH: ❑ M.H. I] POOL OTHER CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
a. FEES COLLECTED
/D i x,�� r�
VALUAT1 6N Source GAS ELECTRIC WATER SEWER
g, Utilof
ities
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. Th a ing of a permit does not presume •�7 y
to give authority to violate or cancel the provisions of any other state (I I aw re 'ng nstruction or the
performance f cones/tru tion. Plumbing
DATE / SIGNATURE Mach.
SPECIAL APPROVALS SPEC IAL17DITIONS:
DEPT. REQ'D. RECD. Plan Check
En, Health
SEPA f
Planning U
U
Fire Marshall Mobile Home o
Co. Engineer Other(Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist �1 ���-�/ ��((�� THIS(�B/E7COM ES A PERMIT. R
DATID� OFFICIAL RQAM/XtAb" V L X21-8 0' 14 2 8 tea'- * 2 "• O 0 Q.I-