1981, 05-14 Permit: 81A-4687 InspectJOB ADDRESS
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Btl JEFFERSON / SPOKANE, WASHINGTON 99360 / 1509) 4563676
APPLICANT, COMPLETE NUMBERED SPACES . Pfff
N. ,311 Art=ies Ct.
((U, b UC �SU DIVISION
2.
OWNER
a Nelson Construction (Mark Nelson)
woo 155
�. 10017 - '16th, Spokane, Wash.
CONTRACTOR
4 ADDRESS
Millrr's_Pllmbing
. 623 Liberty, Spokane, Wash.
DESIGNER
5 DRESS
CHANGE OF USE, ROM
a
ITO
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
PHONE
924 -9797
ZIP
99206
PHONE
493 -2525
Actual Set Backs in Feet
North 004.000
East :West
2199207
Type Cons..
PHONE
Occupancy °Vase 0 Sprinklared
on 90 Redd.
Sips or Parcel �Eb °'n
ZIP
MO0 Floor I upper FIoa , [ Garage Area
Storage
TYPE It NEW 0 ALT. 0 ALI N. 0 RPL 0 PAVE.
' OF WORK 0 SLO. YJ` PLMB. 0 M M.M. ECN. 0 0 POOL
DESCRIBE
a. Plumbing installation - New - SFR
VALUATION SOURCE BAS
UTILITIESI
ELECTRIC
0 uT0ER
WATER
SEWER
Area or Deck, I Flnb0eo easement
Unf in. Basement
Bath, No. Stories ) I No. Room 174. or Dwellings
R
CERTIFICATE Read. 7. rot Rarest
of EXEMPTION
Enum. 0191. ILocatlbn VV.)
USE CODE
Public ❑ Prlvet• ❑
I hereby certify that I have read and 4670111100 this application .11,11 have lead 111
on reverse side, and know the same to be Rue and cor,001. All provisions of law, .:..
We of work will be compiled with whether specified harm, or lot. The 411011100n0
10 give authority to violate or cancel the provisions of any tithe, state or local
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
UA lb OF APPLICATION 05 -11 -81 SIUNA IUHP 04 APPLICANT 11.(./4 {1'5
SPECIAL APPROVALS SPECIAL CONDITIONS:
Eee,I 0.96 NAME 0005 10 Fixtures P $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
FEES COLLECTED
9 9l
Building
Plumbing
Plan Check
SEPA
Mobile Home
40.00
0 Is,..„, 5.00
fee
TOTAL S 45.00
PERMIT BR
ttgNU fCrOE57
I
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WOR� , /�
N S E W FINAL INSPECTION: o&
SET BACKS
DATE
REMARKS: