1980, 01-13 Permit: P81A-0442 Plumbing FixturesSize of Parcel
PLAN NUMBER
I(a I
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
N. 1218 Arties Ct.
LOT
BLOCK
SUBDIVISION
3.
OWNER
Nelson Construction
ADDRESS
E. 10017 - 16th, Spokane, Wash.
4.
PHONE
924 -9797
ZI P
99206
CONTRACTOR PHONE
Miller's Plumbing
ADDRESS
E. 623 Liberty, Spokane, Wash.
DESIGNER
ADDRESS
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
L41 NEW
❑ BLD.
❑ ALT.
PLMB.
Z199207
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
DESCRIBE WORK
8. Plumbing Installation - New - SFR
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
PARCEL NUMBER /S
Actual Set Backs in Feet
North (South (East West
Type Const.
Valuation
Main Floor
Occupancy
Upper Floors
Area of Decks
No. Baths
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
PERMIT NUMBER
X11 P. -044-2-
03* *45.00
* 4500 N
* 45006
A *0.00
44.12
01 -13 -80
6,479.
Storage —
Unfin. Basement
No. Stories No. Rooms No. of Dwellings
Req'd. Rec'd. Not Req'd.
CERTIFICATE
of EXEMPTION
Enum. Dist.
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 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 01 -12 -81
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
10 Fixtures @ $4.00 each + $5.00 Permit Fee = $45.00
1) Kitchen Sink, 2) Basins, 2) Toilets, 1) Tub,
1) Shower, 1) Laundry, 1) Water Heater, 1) Floor Drain
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
TOTAL
40.00
5.00
$ 45.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO. TOTAL