1981, 02-27 Permit: 81A-1893 Plumbing Fixtures [PLAN NUMBER APPLICATION/PERMIT f) PERMIT NUMBER
•I SPOKANE COUNTY - BUILDING CODES DEPARTMENT /�_,
0-1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
* APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES _
* x4 1. GQ
JOB ADDRESS
1. r / /�� ��, , LEGAL DESCRIPTION — SEE ATTACHED ¢. % i. t")
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1891
Oy(NER PHONE
3. .D-° 1 1-- 1 _ 9 ✓�7-Zt 0 2— 7— i 1
r ADDRESS,/ i7 ZIP Actual Set Backs in Feet 6 Q 7 9.
/'7'c$ /'e/ . `( '.�!e4J2, v.,/ 644. 9,,(J1f—ri-ek 99--:-we- North 'SouthEast (West ,'
CONTRACTOR PHONE Size of Parcel Zone Classification
4' ADR � ZIP Type Const. Occupancy Sprinklered
/.0./1/bi1C.._. Oyes ❑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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER
WORK
El BLD. RI PLMB. I=1 MECH. ID M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
ESCRIBE WORK r Enum. Dist. Location (Area)
8. J /1 L?JJ_ �,Q / �� } I FEES COLLECTED
/tl Le.0./4/,, «/ .K fi to Coli' I tii -�✓4,-
LUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public El Private 0
Single $
I 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 �.
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ` '-7`r(v SIGNATURE OF APPLICAN `°4,7- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
c.+� — f/ 1 / l
SEPA >-
Planning .— /ka, v tA4 4-1 d
O
S.2-4--
� Q v
_
Fire Marshall / �.:a�4-- Mobile Home J
`! •6?-4-4-1,0-8-1---•6?-4-4-1,0-8-1---,
Co. Engineer Other(Specify)
/ _. ✓0„ ! 1 /
fr
Utilities JOa- , 'N o " l-✓-a
/-- TOTAL $ -----
Plans
--
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
s
� ,
BufidingTechniaa � PERMIT IS NONTRANSFERABLE 0 2 —21' '8 .a ] 8 9. 3 z * 4 10 0 a PJ
-
AA /Q - <_'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL