1980, 08-22 Permit P80-8998 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
eC)-8998
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 2
LOT
BLOCK SUBDIVISI
ON
OWNER,
ADDiiv e-.., (:','Ati)reA3-7zi
ESS
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CONTRAC R
4. .r— '" :- —, GI/Le ,C-
ADDP2ES ,
DESIGNER
5.
6.
ADDRESS
CHANGE OF USE FROM
PHONE
J
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PHONE '.� )?
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North [South East 'West
Size of Parcel Zone Classification
Type Const.
Valuation
TO
Occupancy
Main Floor I Upper Floors
Area of Decks
Sprinklered
❑Yes No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
O NEW
O BLD.
❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
PLMB. ❑ MECH. 0 M.H. 0 POOL
DESCRIBE WORK j
8.
VALUATION ELECTRIC
9.
SOURCE
OF
UTILITIES
GAS
WATER
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
SEW E R
Ownership
Public D 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 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
0,3* *80
0
* 9.008
* 1.0 0
89s'2
08-22-80
2 6,479,
03* *800
*800
*8,008
E *000
898:92
08-22-80
2 6.479.
b
0)
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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Bui7 echnician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0,8!-22`80 899.85
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