1981, 05-12 Permit: 81A-4623 Gas DryerPLAN NUMBER APPLICATIQN/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT.: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
B ADDRESS
REBS � LEGAL DESCRIPTION — SEE'ATTACHED
LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S
0
3.
C TRACTOR
4' %DDRESS
DESIGNER
ONE
Z
Actual Set Backs in
North Sou
P ONE
-;! y s F5�
Size of Parcel
ZIP. !
Type Const.
O
9' 'Z C, �?
PHONE
Valuation
zone classification
ncy Sprinklered
1. ❑Yes [:]No ❑ Req'd.
5.-
ADDRESS' ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW El 'ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF OTHER
WORK
-1 BLD. ❑ PLMB. ❑ MECH.. ElM.H. ❑POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
D C IBE W RK. Enum. Dist, I Location (Area)
8� l�`. FEES COLLECTED
VALUATION CE GAS ELECTRIC ATER SEWER Ownership USE CODE
OF
9, ILITIES Public ❑Private ❑ Single $
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 Building
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 INSPECTIO Plumbing
c
DATE OF APPLICATION �– SIGNATURE OF APPLICANT.X—V3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEG��'v � Plan Check
Env. Health
) / ''"/ "ted SEPA
.Planning - -
�rFire'Marshall Mobile Home � j(Q%�'�
Co. Engineer Other (Specify)
/I PERMIT NUMBER
0 4* *1 &0.0
* 18.00
*18.0;0 61
A *0,00
0'5`- 1 2-8�1
6479,
Utilities
TOTAL $ c1
Plans Examiner. �L
SEPA Checklist lobo -CL TIHIS BECOMES A PERMIT. HEN MACHINE VALIDATED IN THIS SPACE,
' 1•+• I 1 it �li '9t '.i 4 62-
Building Technician PERMIT IS NONTRANSFERABLE' } j, a,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.
TOTAL