1980, 08-06 Permit P80-8183 Plumbing FixturesPLAN NUMBER
•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
4.
5.
6.
JOB ADDRESS
LOT
OWNER
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
(73/ 7 rr
BLOCK (SUBDIVISION
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
ADDRESS
CONTRA.?
-/ j ' c:: f
DFSI( NFR
D
1 V
s
!r. ?nx / `,U9'
CHANGE OF USE FROM
TO
ZI P
PHONE
,S'�
PHONE
Actual Set Backs in Feet
North !South
East 'West
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
Elves ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
Main Floor I Upper Floors Garage Area
Area of Decks
Finished Basement
Storage
Unfin_ Basement
7.
TYPE
OF
WORK
❑ BLD.
EW ❑ ALT. ❑ AD'N. 0 RPL.
0 M.H.
X.PLMB_ ❑ MECH.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
8.
DESCRIBE WORK
VALUATION
SOURCE
OF
UTILITIES
'GA ELECTRIC WATER
SEWER
Enum. Dist.
Ownership
Public CI Private
Req'd.
ILocation (Area)
l
USE CODE
9.
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 p mit does not presume
to give authority to violate or cancel the provisions of any other state or local law r ting co>�r ctior, or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION ' 1
DATE OF APPLICATION
SIGNATURE OF APPLICANT
Rec'd.
Not Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ +--3c3/
03* *33,00
*3300
*33,006
E *0,00
8180
08-06-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
ateheciLs;o" y 8A/80
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
08-06-8'0
DATE ISSUED
818,3z *33,00°� -
PERMIT NO. TOTAL