1981, 08-19 Permit: 81A-8289 Plumbing FixturesPLAY NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
O k * 1 7 G G
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
*1 n
LOT
BLOCKISUBDIVISFON
PARCEL NUMBER/S
�
� � +,QQo
2.
A *000
EHO
15
82889
Actual Set Backs in Feet
/►DRESSZia
t
North South East West
08-19-81
C A TO
P N _
Size of Parcel
Zone Classification
c�9 ��
3 �0�
0 6479,
4.
55
ZI
Type Const.
Occupancy
Sprinklered
M
❑Yes ❑No ❑ Req'd.
DESIGNER
PlIONE
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.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW �LT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
1:1 BLD. PLMB. ❑ MECH. ❑ M.H. POOL ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 � FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES I I I Public ❑ Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a p it does not resume Building
to give authority to violate or cancel the provisions of any other state or local law eg t' g constructi or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO S Plumbing '
V/7/DATE
OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL C DITIONS:
NAME DATE 9 F Plan Check
� U
Env. Health I "� `( �
� SEPA
je-
Planning (✓ I
Fire Marshall AAr Mobile Home
co. Lngmeer
Utilities
Plans Examiner
ecnniaa�,
/' ' / _ .,
PERMIT IS NONTRANSFERABLE
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
8`1� 8 2.8.9 Z
*17,00 C� -