1980, 09-18 Permit P80B-481 Plumb FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMp",P
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRSS�j{{ �`/�[A{'
LOT BL C'K SUB61 VI
5 f� �6��,`�
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
4' i' L3
ZZII 1'
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North
Size of Parcel
Type Const.
South
East West
Zone Classification
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
Main Floor
Area of Decks
Upper Floors Garage Area
Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
p-NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
0 BLD. LPLMB. 0 MECH. 0 M.H. 0 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.
Enum. Dist. I Location (Area)
VALUATION
9.
SOURC
OF
UTILITIES
2 GAS
ELECTRIC
WATER
SEWER
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
SEE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION Y/1a��0 C✓
SIGNATURE OF APPLICANT
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 $ 3 dry )
03* *38.00
*38.00
*38006
A *0,00 8
4802
09-18-80
z 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 9,k 1E8,,. 8i 0
DATE ISSUED
48.15 *31,0021-2
PERMIT NO. TOTAL