1981, 08-19 Permit: 81A-8279 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT
Y 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 Z/
� LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK— BDI I ION PARCEL NUMBER/S
2.
OWNER PHONE
ic
3. sCS
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONTRA TOR PHONE Size of Parcel Zone Classification
a.
ADDRESS '' ZI p / Type Const. Occupancy Sprinklered
Dyes []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 TO Area of Decks Finished Basement Unfin. Basement
s.
TYPE64_
Baths No. Stories No. Rooms No. of Dwellings
NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF WORK El BLD. LMB. ❑ MECH. ❑ M.H. POOL El OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER I SEWER Ownership USE CODE
Q, UTILOITIES Public El Private ❑
Single $
1 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 regul ' construction or the 3�K
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION d* SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
inning
re Marshall
). Engineer
:ilities
ans Examiner
SPECIAL CONDITIONS:
r �w�
niciannn PERMIT IS NONTRANSFERABLE
( - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
pPERMIT NUMBER
03* *37.00
*3700
*3700
A *000
827.8
08-19-81
z (x479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*37.0�a -
TOTAL
L