1981, 09-09 Permit: 81A-9070 Plumbing FixturesPLAN NUMP_,ER
APPLICATION/ 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
C—>15 115 Via.. LEGAL DESCRIPTION —SEE ATTACHED
1.
OWNER
ZIP
PHONE
Upper Floors
Garage Area
3. av-,AN
AN
534r - {`
Area of Decks
Finished Basement
ADDRESS
s.
ZIP
Actual Set Backs in Feet
f
aAL04,L
e'tel
North South
East West
CONTRACTOR
No. of Dwelling
PHONE
Size of Parcel
Zone Classification
], OF �/ 1:1 OTHER
BLD. p0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
4' ADDRESS
Not Req'd
ZIP
TypeConst.
Occupancy
Sprinklered
VE�u
--2,,
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
14'1-o 14T'a-
J
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE LYJ NEW ❑ALT. E3 AD'N. 1:1 RPL. 1-1 MVE.
], OF �/ 1:1 OTHER
BLD. p0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
_
DESCRIBE WORK Enum. Dist. Location (Area)
COLLECTED
8 ;ZFEES
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UOF TILITIES Public ❑Private ❑
I I
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 t co
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
X
1 A-rr= f1G ADDI irA-rif1NJ /] CIrNATI IOC nr- ADDI I!•nnlT./[ _ _ .L�D� S '"—
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
anning
re Marshall
i. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ing Technician
_// . - e- -A--, i
SPECIAL CONDITIONS: Z
TGtt�'tr�
2
ZAJ h
2
T u 65
K"-ft_uE o y irvlG
1
rtrom P-Ak j G//0
t
STMMi7 7[ PC
14'1-o 14T'a-
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $45, t�3
PERMIT U6 R
�o SIA - 616-7 0
03* *4500
*4500
*45.0081
A, *000
9069-
09-09-81
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'09+--'0 8 "1" 9'0 7.0 z
*45.00?i-j -