1981, 06-30 Permit: 81A-6507 Valves(PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
J
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3_COPIES
JOB ADDRESS
LOT
Na po 01151 laLAS
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER
AL An s E
PHONE
ck2(, IZ3
PARCEL NUMBER/S
ADDRESS
C . SC;Cx - C-ARcicc
ZIP
CD(CtZCL
4.
CONTRACTOR
PHONE
ADDRESS
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North 'SouthEast 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Et.
Main Floor Upper Floors • Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
V'NEW �/❑ALT. ❑ AD N. 0 RPL. 0 MVE.
❑ BLD. yJ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
Enum. Dist.
8d2:) GH E1CL Q ALVe's Vosz.)e.Dt_ts,COLLe r Sy51n1
VALUATION
9.
SOURCE
UTILITIES
GAS
1-
Q.
ELECTRIC I WATER I CSN SEWER
Location (Area)
Ownership
Public DPrivate 0
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
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Eng i nee
Utilities
Plans Examiner
SEPA Checklist
B
Id ng echnlcian
SIGNATURE OF APPLICANT
ECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 413.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ C3 ort)
PERMIT NUMBER
03* *13.00
*1300 N
65052
06-30-8i1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
6,510,7'g *1;)0'0°a0
PERMIT NO. TOTAL