1981, 07-06 Permit: 81A-6670 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT rt RIVI, I IVUM10-
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 8 A, (
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe DDRESS LEGAL DESCRIPTION — SEE ATTACHED
I IT K UB I ON PARCEL NUMBER/S
OW�3. ADD ESS,
CONTRA T O
PHONE
Ip� Actual Set Backs in Feet
., ! North South East
P ONE Size of Parcel Zone
4'
ADPRES5 Zlp Type Const. Occupancy Sprinklered
v/1 []Yes❑No 1:1Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor I Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW 11 ALT. El AD'N. [I RPL. El MVE.
7, OF�,� F1OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. E PLMB. ElMECH. ElM.H. ❑ POOL
of EXEMPTION
DESCrgIBE 0�2K_� �� / Enum. Dist. Location (Area)
8 IJ fff1"'0111f�r1R II FEES COLLECTED
VAI,,JATION SOURCE GAS TELECTRIC WATER SEWER Ownership1presume
ODE
OF Public ❑ Privat
9, UTILITIES Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" prluded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinancg this Building
type of work will be complied with whether specified herein or not. The granting of a permit dsumeto give authority to violate or cancel the provisions ofany other state or local law regulating coor the 5--3performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlumbingMech.
SPECIAL APPROVALS
NAME DATE
v. Health
nning
ngineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
y 'd 65
G
Yv
• /k
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ✓
03* *53.00
*5300
*53.00
A *0.00
666.9
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 Tt 0�6-' 81; 6' 6'Z 0 5.
DATE ISSUji, ,, PERMIT NO.
*5300aO-
TOTAL