1981, 12-17 Permit: 81B-2837 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.
OWNER
3.
ADDRESS
CONTRACT
4' ADDRESS
DESIGNER
5' ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
E. 8524 Knox LEGAL DESCRIPTION — SEE ATTACHED
UBDIVISION PARCEL NUMBER/S
PHONE 07544-9049:
Kenneth E. Jeffrey 928-0179
E. 8524 Knox Z'99206 Actual Set Backs in Feet
North South East West
R PHONE Size of Parcel Zone Classification
Same
ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE Valuation Building Area in Sq. Ft.
ZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW � ALT. �I AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK El BLD. KI PLMB. ❑ MECH. ❑ M.H. ElPOOL
of EXEMPTION
DESCRIBE WOR Enum. Dist. Location (Area)
8 Plumbing Fixtures FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. 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 regulating construction or the $29.00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT)ONS Plumbing
f
nATC nE ADD[ IP AT1111 i/'�/ I i t 1 01! 11A-1IOC n1 A—I IPDA v M.•v�.fi.L - � Mach.
SPECIAL APPROVALS
NAME DATE
nv. Health
ning
ngineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
Relocate Hot Tank
Relocate Kitchen Sink
Relocate Automatic Washer
1 - New Water Closet
1 - New Lay. (Bath)
1 - New Tub/Shower
n PERMIT IS NONTRANSFERABLE
5r I
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ $29.00
v3* *29.00
.}.—
r_
*29(30Y
ri
6 47 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 •- 7 �� g 1` 7 83. '7 z
*2'9.0 0 a� -
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