1980, 10-20 Permit P80B-2299 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 3 COPIES
1.
2.
3
4.
JOB ADDRESS
E. 10415 Ferret
LOT
BLOCK
SUBDIVISION
OWNER
W.R.S. & Associates
ADD SS
S. 326 Pines Rd., Spokane, Wash.
CONTRACTOR
Miller's Plumbing
ADDRESS
Liberty, Spokane, Wash.
DESIGNER
5' ADDRESS
PHONE
928-3380
ZIP
99206
PHONE
483-2025
ZIP
99207
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North South lEast (West
Size of Parcel i Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes DNo ❑ Req'd.
Valuation 1 Building Area in Sq. Ft.
Main Floor I Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
01 NEW
❑ BLD.
D ALT-
A PLMB.
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
D POOL
DESCRIBE WORK
8. Plumbing Installation - New - SFR
VALUATION SOURCE GAS ELECTRIC WATER
OF
9. UTILITIES
❑ OTHER
SEWER
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑Private 0
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 10-20-80 SIGNATURE OF APPLICANT ';�'� �`r`/ ov t
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS: /
19 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $50.50
Rounded To: $50.00
Req'd.
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
0v
47
Ot er (Specify) 3.00
Fee
TOTAL $ 50.00
03* *50.00
0.17)
*50.00ZS
A *000 8
229.82
10-20-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
c
c
L
L
Building Technician
0~t20�80 2129,9 *50,00a!— -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT IS NONTRANSFERABLE
PERMIT NO. TOTAL
•
k
73
_
Noute
1/0 &Art t's
• 1
A
or /4— eekocK
N
44 EC?... F /12t 7' /9494 /7"'/ o•ti
•