1981, 01-19 Permit: 81A-0623 Plumbing Fixtures4 NUMBER
(L
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
JOB ADDRESS
t Q % /, I(4tSSie &!
LOT BLOCK SUBDIVISION
OW,N /ER n jr
3. H - F7 l� y1 hto i _.
ADO ESS
/. /12- Ut t yer St ./Ly
CONTRACTOR
4. 771,7713 . &/ feelris S -Air
ADDRESS
DESIGNER
ADDRESS
CHANGE OF USE FROM
PHONE
772-0 6
6.
TYPE
7. OF
WORK
TO
zl •
2
PHONE
ZIP
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. .PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
DESCRIBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North South East 'West
Size of Parcel Zone Classification
Type Const.
Valuation
Main Floor
Occupancy
Upper Floors
Area of Decks
No. Baths
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
Storage
Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
No. of Dwellings
Req'd.
Location (Area)
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 p • ' •oes
to give authority to violate or cancel the provisions of any other state or local law reg g cinstru
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building -chyician
; #* —r�-�
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
/7— T /pis
37 — L. aY S
S$ --
S` F /do- ar)l#!S
6
— L3 ,tidry TVi(
--
I-- 10 ALal
1— /pr Fi—A/
r� PERMIT IS NONTRANSFERABLE
/4 j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
/II xgo:= 5.64 �,
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
56 41.r
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) 'S` ad
retrial( �J oc."
TOTAL $ E1 /
PERMIT NUMBER
03* *564.00
*564.00 V,
*564,006
A *0.00
62.22
01419 -81
2 6479.
03* *5.00
*500 17)-
*5.008
A *0.00 8
6282
01 -19 -81
2 6479
A
62,92
*
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES,A PERMIT.
0'117 19.`81! 623 Z *564OO2g -
DATE ISSUED
PERMIT NO. TOTAL
G.
c
c:
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NS E W
SET BACKS
TYPE OF WORK _
FINAL INSPECTION: 6 -a,. / i%
DATE
2-o
REMARKS:
4,e7L )271 d'Airy .4„, ciidZ L
1ty ,1
‘A.4.--1-4-2-1-c-.--e- Q X4}1 Noi22
U L �Z %t iei�,l 10641 tTiv:47
&..1/ Pi ja% s,,4 k
(iitii? /'L ?If A414 i,t.
J.41/1/-. A7-7
APPLICATI VN/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 99250 / 15091 456 -3606
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
200
1,
056
MLSSre N
HLDCR Istn171v1eNN
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
a °f "F ?rvL, old
:11`41 z a4i ye Y
PNON
“F ' ■Tg• Ea /-u- -rfs•cs Ito
`'7.2.06
Actual Eat Basks In Feat
?surto !Souls
Si. of pascal
East
I Zone wire.
rt
b
Cnml.
Occupancy
6.
DESIGNER
PEON
alustIon
❑v., Doe kl0 Rag•d.
Building Area In SR. Ft.
ADDRESS
MO ow
CS ago Awa lor.
CHANGE OF USE FROM
a
TO
Ara. of
Finish.. BM.mant
Unlln. B..•m.nl
^•n QG0tW 0 ALT. 0 000. 0 RPL. 0 1100.
0000 0 m.o. )64,o0. 0 MECH. 0 M.H. 0 POOL 0 OTHER
No. Rm.
No. Room. INo. of 00.11 ng.
a OtlCRIEE WORN /0/ PrGU Sny� 7
VALUATION 00000001 OAS ELECTRIC WATER SEWER
IDT IrIH61
CERTIFICATE
of EXEMPTION
!own. EMI. 1 Leullon (A1.1
OwnuMIP
Public 0 Private 0
u COD
I hereby certify the. I have read end examined Ills application and have read the "NO I II. L'- pruvlsluns Included
on MI MS side, end know the same to lie tore and correcl. All provisions of laws and ■I■rbllanees goverrlln• this
type of work will be complied with with specilied herein or not. The granting of p. •oe
to give euthorlty to violate or cancel the provisions nl any other state or meal law re
performance of constre9HlOn. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION •U / //) l/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
SIW Health
MOW
u•s Examiner
SPECIAL CONDITIONS:
/7- rodieks
37- LaVS
3 - 5%o /cs
5 - floor Prd IACS
6 - 1,0a-k /fe4krS
/ - udry 7vay.
I - 5.DweV
_ • / — 10144. I
I PPwrle l4 Ph/
/9/ X4 Cif °j---
Rac re' 0.50.
FEES COLLECTED
Singl
Building
Plumbing
MKb.
Wen Cheek
SEPA
Mobile Home
561
0150, ISp.dv) Sr00
fePMlf•
TOTAL S
IT MAMMA
at _ , 0603'
03• •56400
•56400
•5640011
A •000 8
622s
0119 -81
6479t,s
03• *500 -
•500
•5008
n •000 B
628s
01- 19 -d.I.
6479.
5290 1.
WHEN MACHINE VALIDATED IN THIS ACE,
iI ri
THISINCOMIlek PERMIT. •