1980, 09-24 Permit P80B-797 Plumbing FixturesPLAN NUMBER
APPLICATON/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
O W N J-i.g.
3
ADDRESS
CONT AcTp�/
4' .®DDRESS, /71e/
f1?£ // 1' `2-. /4
SUt3DIVI51O17
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
9.
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
D AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
DESCRIBE WORK
6laE,`c
VALUATION
Source
of
Utilities
GAS
PHONE
PHONE
4I7/e
ZIP
9" '7
PHONE
❑ MVE.
❑ POOL
0 OTHER
ELECTRIC
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North
Size of Parcel
Type Const.
South
East
West
Zone Classification
Occupancy Sprinklered
Elves ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
Split Entry
No. Baths
WATER
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
SEWER
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 gr. • 'rig of a permit does not presume
to give authority to violate or cancel the provisions of any other state or Ilaw reuu-ting construction or the
performance of construction.
L `Z - c
DATE
DEPT-
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATU
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITI 1 NS:
DATE OFFICIAL
No. Rooms
Storage
Rancher
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
803- -7
DATE 9 z C=
03* *3550
*3550
*35.506
*0.00 r
7a82
09-24-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS CQ E .A ERMIT.
V,797z *3550LT.
APPROVED FOR ISSUANCE