1981, 03-17 Permit: 81A-2488 Plumbing FixturesNUMBER - APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
t7, _ o 7 LEGAL DESCRIPTION - SEE ATTACHED
2 L+2T I BLOCK� —"A 1 ( ✓� � PARCEL NUMBER/S y 2��.J — I I 12
OWNER' �� (� PHONE J�J L
3.
r
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONTRACTOR P ONE Size of Parcel Zone Classification
8a
4' ADgjRESS�7 d ZIP Type Const. Occupancy Sprinklered
1� ❑Yes [:]No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM 170
Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,�/NEW T. AD'N. 1:1 RPL. El MVE. No. Baths No. Stories No. Rooms No. of Dwellings
6d ❑ ❑
7, OF 1:1OTHER
WORK 11 BLD. III PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. Vw r,�
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership1presume
DE
9. UTILITIES Public El PrivateSingle $
I hereby certify that I have read and examined this application and have read the "NOTICE" proded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinancthis
type of work will be complied with whether specified herein or not. The granting of a permit dme Building
to give authority to violate or cancel the provisions of any other state or local law regulating contheperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbingDATE OF APPLICATION���Z AlI SIGNATURE OF APPLICANT JMech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PER IT UMBER
03* *45.00
*45.00
*45.00
A *0.00
24.872
03-17-81
6479,
r
TOTAL $ +r,.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
248.81, *45,0-00-2 -
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