1981, 01-14 Permit: P81A-0442 InspectRANNUMKER
F
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 59260 / 16051 .66,i8)6
APPLICANT: COMPLETE NUMBERED SPACES- PRESS HAHU TO MAKE 3 COPIES
1� JOB ADDRESS
N 1218 Arties Ct.
LUT 5LULK
LEGAL DESCRIPTION -SEE ATTACHED
ISUBOIVISIUN
2 I
PARCEL N MBERrs
OWNER
3, Nelson Construction
PHONE
924-9797
ADORF,9S 10017
t - 16th, Spokane, Wash.
ZIP
99206
Actual Sat Back, In FOR
North X50 "1" Et 'West
CONTRACTOR Miller's Plumbing
4.
483 -2025
6N.plPelea Zone Classification
z
ADDRF$
E. 623 Liberty, Spokane, Wash.
Z1g9207
Cons t.
Type c°" O0B "an. Sprinkler«
DESIGNER
6'
PHONE
Valuation SWIM p Arm In Sg. Fl.
ADORE55
ZIP
Main Floor Upper Floor, Garage Ana Momg•
CHANGE OF USE FROM ITO
&
Dm, 1 FInIN« S.«rnant I Unlln. easement
TVPE (� NEW ❑ ALT. ❑ AWN ❑ RPL ❑ PAVE.
7. WORN 0 DLO. a PLMS. 0 MECH. 0 M.H. 0 POOL 0 OTHER
DESCRIBE
o. Baths I No. Stories Rooms INO. of Dwellings
RNo.
CERTIFICATE Am M. I Roc O. ,uot Rab d
of EXEMPTION
WORK
8• pl0nbing In telletion - New FR
Cy
E " "m•D)0. I` ° ° " ° "' "r «r
FEES COLLECTED
VACU�l0N SOURCE OAS I ELECTRIC I WATER I SEWER
9. 2Tl°rt,ES I
Ownerahlp USE CODE
Public O PoNale OI
hereby certify that have read and examined Ihit
'" sicM, and know the same o he i and application
on type of r work will he complied with whether correct. Al)
to give authority to violate ei specified herein or
- cancel the provisions of any other
uerlormanca of construction, SEE REVERSE SIDE FOR REQUIRED
end have read t200 00 TICE" revisions included
provisions of laws and •o ens governing this
Irnl TI�e granting DI a I•i•n,il does-not pl esmoe
stele or local law Iegrilm., g rnmtruchon or the
INSPECTIONS
APYLICANI
S III s
60110Mg
Plumbing 40.00
UAIE OF APPLICATION 01-12-81 SIC NA IIITO lln
Mech.
SPECIAL APPROVALS
NAME 0006
SPECIAL CONDITIONS,
10 Fixtures 0 54.00 each + 55.00 Permit Fee R $45.00
1) Kitchen Sink, 2) Basins, 2) Toilets, 1) Tub,
1) Shower, 1) Laundry, 1) Water Heater, 1) Floor Drain
Ran Cheek
r•,. N «Nh
1
1
-EPA
Mobil.Nome
EP.glrol 5.00
eln
mlp«ee
TOTAL S 45.00
03• •4500
•4500
•1500
•000 8
4111
01 -13 -80
2 6679.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF .WORK
NS E W FINAL INSPECTION: 5'/ (/
SET BACKS
DATE
REMARKS: