1981, 08-28 Permit: 81A-8659 Plumbing FixturesAPPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK IbUBUIVISION I PARCEL NUMBER/S
OWNER
PHONE
3. Ci{E-c-tZ
53,*— G)oG
ADDRE,(SS�`
ZIP
Actual Set Backs in Feet
11�� __
-J . �� �c�tLE•�)
q.Z.0-,6
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
-A wNe
4.
ADDRESS
ZIP
Type Cons7
Occupancy
Sprinklered
6AYhs
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
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
,�(
TYPE LJ NEW 1:1 ALT. 1:1 AD -N. El RPL. 1-1 MVE.
%, OF El OTHER
ElBLD. E(PLMB. ElMECH. EIM.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 � F�1CiLr.R�
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
ZS
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing C'U
r)ATF r)F APPI IrATI()AI CI(_hlATI IRF (1C ADoI Ir ANIiI�-
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
i. Engineer
ans Examiner
EPA Checklist
uilding Techn
SPECIAL CONDITIONS:
1 S L-.*-; —
t S � iv,fG
i (..►�+l.�N,7i2 y to g
S 1
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
03* *2500
*2500
8658-
08-28-81
z 6479,
SEPA I c
C
c
Mobile Home I c
L
Other (Specify)
TOTAL $ . oa
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*25.:0'OCIL'
TOTAL