1980, 12-22 Permit P80B-5156 Plumbing FixturesPLAN NiJMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
4.
5.
JOB ADDRESS
E. 10410 Ferret Dr.
LOT
OWNER
BLOCK
SUBDIVISION
W.R.S. & Associates
PHONE
928-3380
LEGAL DESCRIPTION — SEE_ATTACHED
PARCEL NUMBER/S
ADDRS. 326 Pines Rd. Spokane, Wash.
CONTRACTOR
Miller's Plumbing
ADDRE. 623 Liberty, Spokane, Wash.
DESIGNER
ZIP
99206
PHONE
483-2025
ZIP
99207
PHONE
Actual Set Backs in Feet
North 'South lEast (West
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
XXNEW yy0//ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. XXPLMB. ❑ MECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Plumbing Installation - New - SFR
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 12-22-80 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
16 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $43.00
1) kitchen sink, 1) dishwasher, 1) laundry, 3) basins
3) toilets, 1) tub, 1) shower, 1) water heater,
1) floor drain + 3) piece rough -in in basement (1)basin
1) toilet, 1) shower)
Jar e7z, -go
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
TOTAL $ 43.00
40.00
3.00
re_rarvn
•
03* *43.00
*43,00 N
* 43.006
A *0,00
5155�
12-22-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B 'din Tefi�hnicia
121=2-80 515,6 Z *43.00
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT IS NONTRANSFERABLE
O J —
a�
PERMIT NO. TOI A i