HomeMy WebLinkAbout1979, 07-06 Permit 79-151 Plumbing FixturesPLAN 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 S87/ -1 re/Ts Ed
a SUBDIVISION hlrs
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LOT BLOCK
2.fi1�
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OWNER
3.
ADDRESS
E 13S0
rrik
eke /
i
PHONE
9'W e 3023
ZIP
4.
6.
CONTRACTOR
ja-ruts T re 4.2 /e
ADDRESS
5 22o , (,LHry tvs�
/
ADDRESS
E 3 6 ?C.; //6-sr;
CHANGE OF USE FROM TO
PHONE
92d:4 322p
ZIP
I9z-a (o
PHONE
�3S`-SF7G
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North South East
Size of Parcel Zone Classifica
Type Const.
Valuation
D W L Area
Split Entry
Occupancy
Basement Area
West
ion
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
Storage
Rancher
TYPE
7. OF
WORK
t}�NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
//❑ BLD. PLMB. ❑ MECH: 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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
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 Iayv reguatinconstruction or the
performance of conssttrucction.
DATE 7- £— " trr SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
l
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
y3 or)
DATE
PERMIT NUMBER
-7(i- IS
e3* *4300
*43.00 N
150�
07-06-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE OFFICIAL
APPROVED FOR ISSUANCE
07-06-79 15.1 *43.00
O J
IL H.