1981, 10-08 Permit: 81B-443 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
LOT
BLOCK
SUBDIVISION
e- CC)r(z
LEGAL DESCRIPTION — SEE ATTACHED
5.
DESIGNER
NE
444 Ji 71)
PHONE
ADDRESS
ZIP
PARCEL NUMBER/5
Actual Set Backs in Feet
North (SouthEast 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves ONo 0 Req'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
6.
CHANGE OF USE FROM
TYPE
7. OF
8.
0 ALT.
WORK '—' BLD.
DESCRIBE WORK
VALUATION
SOURCE
OF
UTILITIES
TO
0 AD N.
MB. 0 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
Zufriu Le J A lC
GAS
ELECTRIC
WATER
9.
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 + .rting of a permit does not presume
to give authority to violate or cancel the provisions of any other state o loc.I law regulati const r ction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED IN'P ' IONS
' sites
I
SEWER
Area of Decks
No. Baths
Finished Basement
NO. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
DATE OF APPLICATION
I
SIGNATURE OF
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
' ldIng-Tec idea
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
r Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
/S
TOTAL
PERMIT NUMBER
03* *1300
*1300
* 1300 N
* 13006
A *000
4422
10-08-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1°bl',x'�08't:8�11�
DATE ISSUED
n1.
4455 *15:8t20
PERMIT NO. TOTAL
0-
0 O
J