1981, 05-19 Permit: 81A-4863 DishwasherPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICAN r: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
79/1
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
P ONE
PHONE--
-Vg.-/ 71)
ZIP
PHONE
ZIP
TO
❑ ALT. ❑ AD'N.
L'PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East (West
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
Upper Floors
Zone Classification
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Area of Decks
Finished Basement
No. Baths
DESCRIBE WORK
8.
VALUATION
9.
n.-o�r�tQG
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Storage
Unfin. Basement
No. Rooms
Req'd.
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 INSPECTI% S
DATE OF APPLICATION 02—(71-/—f/
SIGNATURE OF APPLICA
SPEC! 4L APPROVALS
NAME DATE
Env. Health
r
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
03* *9,00
* 900 U)
* 9,006
A *0.00
4862
05-19-81
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
486.3'1 *9.0'OaIJ- -
DATE ISSUED PERMIT NO. TOTAL