1979, 10-30 Permit P79-6996 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
43
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
3.
4
OWNER_
�: Y
ADDRESS
CONTRACTOR
DDR&S,
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
PHONE
// I (,
ZIP_
PHONE
ZI P
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
Size of Parcel
Type Const.
Valuation
East
West
Zone Classification
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
DWL Area I Basement Area
Garage Area
Storage
Split Entry
Split Level
Ranche
TYPE
7. OF
WORK
❑ NEW
❑ BUD.
0 ALT.
0 AD N.
PLMB. ❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
8.
9.
DESCRIBE WORK.6314.
VALUATION
Source
of
Utilities
GAS
ELECTRIC
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
WATER
SEWER
No. Rooms
Rec. Room
Req'd.
Rec'd.
Not Req'd.
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
tvne of work will be complied with whether specified herein or not. The granting of a permit does not presume
ve authority tc, violate or cancel the provisions of any other state or local law regulating construction or the
pei rormance of construction.
DATE / O gU / SIGNATURE
DEPT.
SPECIAL APPROVALS
RECt'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
p
PERMIT NUMBER
DATE %�/ Q/7
03* *13.0y0
* 13.00 5
* 1 3.0.06
B *Q0.0
69952
10-30-79
R 6479.
ce
F—
w
_ w
0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
699.65 *1300 aF
DATE OFFICIAL V2k0J'4V-1-1'6✓6".
APPROVED FOR ISSUANCE
10-50-79