1980, 09-26 Permit P80B-0928 Plumbing FixturesPERMIT NUMBER
VALUATION
9.
(PLAN NI..MPER
3.
4.
6.
N/
JOB ADDRESS
S. 4814 Spencer Lane
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
BLOCK
SUt5UI V ISIUN
OWNER
William & Barbara Smith
ADDRESS
E. - 44th, Spokane, Wash.
CONTRACTOR
Miller's Plumbing
ADDRESS
E. 623 Libert
DESIGNER
ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
, Spokane Wash.
TO
PHONE
924-6984
ZI P
99206
PHONE
483-2025
ZI P
99207
PHONE
ZIP
IIIXNEW W�❑// ALT. 0 AD'N. 0 RPL. 0 MVE.
0 BLD. PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
8. Plumbins installation - New - SFR
GAS
SOURCE
OF
UTI LITIES
ELECTRIC
WATER
0 OTHER
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs In Feet
North South
Size of Parcel
Type Const. Occupancy
Valuation
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Area of Decks 1 Finished Basement 1 Unfin. Basement
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public 0 Private ❑
Location (Area)
USE CODE
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 9-24-80
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
18 Fixtures @ $2.50 ea. + $3.00 Permit Fee = $48.00
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
TOTAL
45.00
3.00
$ 48.00
tp
03* *48.0.0
*48.00 to
*48.00
A *0.00
92.72
0'9-26-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
0, 9,kr2. 6
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
'92,8
PERMIT NO.
*48.0'0 ar-'
TOTAL
•
>
•••
4.
• . _