1981, 11-30 Permit: 81B-2217 Plumbing FixturesPLAN NUMBER
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
t. E. 16705 Her (Custom:
LOT SUBDIVISION
2.
BLOCK
E. A. Parvey RPS
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER
S & A Bui
lders
PHONE
483-7139
PARCEL NUMBER/S
ADDRESS
P.O. Box
18632, Spokane, Wash.
ZI P
99208
Actual Set Backs In Feet
North 'South
East
'West
4.
CONTRACTOR
Miller's
ADDRESS
E. 623 Li
Plumbing
berty, Spokane, Wash.
PHONE
483-2025
Size of Parcel
Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinkleed
❑Yes ONo 0 Req'd.
5.
6.
DESIGNER
PHONE
Valuation
Building Area i Sq. Ft.
ADDRESS
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors I Garage Area
Storage
TO
Area of Decks
Finished Basement
Unf in, Basement
TYPE rvi
W NEW
7. OF .
WORK 0 BLD.
0 ALT. 0 AD N. 0 RPL.
PLMB. 0 MECH. 0 M.H.
0 MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. o Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
s. Plumbing Installation - New - SFR
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 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
11-24-81 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME 'DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
14 Fixtures @ $4.00 ea. + $5.00 Permit Fee = $61.00
1) kitchen sink, 1) dishwasher, 3) basins, 3) toilets,
1) tub, 1) shower, 1) laundry, 1) water heater,
1) service sink, 1) floor drain.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) 5.00
Fee
56.00 .
TOTAL $ 61.00
PERMIT NUMtSER
8/8 22/7
0 3* *61,00
*61.00 N
221.6
1.1-30-81
6a79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
111,_1,1°4'11
Oi ,
1811
DATE ISSUED
2' 217'z
PERMIT NO.
*61002' —
TOTAL