1981, 07-15 Permit: 81A-7010 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. 4A
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONTRACTOR PI (pNE Size of Parcel Zone Classification
eZJ 1 WL-
4' ADDRESSZIP � { Type Const. Occupancy Sprinklered
1,3� /�4pJ(G ❑Yes []No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
�iVEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ -1 BLD. PLMB. ❑ MECH. ❑ POOL
OTHER CERTIFICATE Req'd. Recd. Not Req'd..
WORK ❑ M.H.
of EXEMPTION
8. DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES 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 regulatin ons ction or the zza
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Mech
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
1
s��
LCA
F
/
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $_
PERMIT NUMBER
,P151 A - "10110
03* *4.9,00
(?.00
*49,006
A *0.00
700,9
07-/1'5--81
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
By'IdiVe�cnn a - ^ PERMIT IS NONTRANSFERABLE '0 '5'—'8Ej;'$+�1 % 0 L 0 Z * 4 9, 0 0 a