1981, 05-13 Permit: 81A-4687 Plumbing FixturesPLAN NUMBER
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. 1311 Arties Ct.
2.
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
3.
OWNER
Nelson Construction (Mark Nelson)
ADDRESS
E. 10017 - 16th, Spokane, Wash.
PHONE
924 -9797
2199206
4.
CONTRACTOR
Miller's P1umhing
ADD E. SS 623 Liberty, Spokane, Wash.
DESIGNER
PHONE
483 -2025
Actual Set Backs in Feet
North 'South East (West
Size of Parcel Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
5' ADDRESS
6.
CHANGE OF USE FROM
ZIP
Valuation
Building Area in Sq. Ft.
Main Floor
Upper Floors 1 Garage Area
TYPE
7, OF
WORK
I01 NEW
❑ BLD.
0 ALT.
IJ PLMB.
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Area of Decks
Storage
Finished Basement Unfin, Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
8. Plumbing installation - New - SFR
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
SEWER
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 05 -11-81 SIGNATURE OF APPLICANT �'� �� //t_t
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checkl ist
Building T-c ician
SPECIAL CONDITIONS:
10 Fixtures @ $4.00 ea. + $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
Recd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
40.00
Other (Specify) 5'00
Fee
TOTAL
$ 45.00
PERMIT NUMB 'SR
- -7
03* *45.00
*4500
*45006
A *000
468.6
05- -13 -81
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
o!5;! -'' ` -'`81 46$.72 *45.00
DATE ISSUED
PERMIT NO. TOTAL