1981, 06-29 Permit: 81A-7660 Plumbing FixturesLLAN NUNRER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. A../47c2 S ��(j
BLOCKo SUBDIVISION^_—
2.
3.
ADD
RES
O,(yNFER
`/�
CONTRACTOR
4
PHONE
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North !South !East (West
Size of Parcel
' ADDRESS 01)1-41.224
\ ,�, ..
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
PHONE
Type Const.
Occupancy
ZIP
TO
❑ ALT.
PLMB. ❑ MECH.
El RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Valuation
DWL Area
Basement Area
Zone Classification
Sprinklered
Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
1 Garage Area
Storage
Split Entry
Split Level
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
DES IBE WORK
8.� (1 M b i/L1 5. Pi x7u
VA U TIOSource GAS
of
9. Utilities
ELECTRIC
WATER
SEWER
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.
DATE 6 Z 9- 9 j
DEPT.
SIGNATURE
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL ClOONNDITIONS:
t
(X)/14'/"
DATE 7/3/
OFFICIAL • '
APPROVED FOR ISSUANCE
Rancher
.i•
Recd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ aS.,c90
DATE
PERMIT NUMBER
* *25.00
* 25,00 N
* 25006
A *0.00 8
76598
07-31-81
6479,
N MACHINE VALIDATED IN THIS S(?,4FE,
766.02 *25.00
HnPERMRM IT.