1981, 05-15 Permit: 81A-4750 Piping 'PLAN NUMBER APPLICATION/PERMIT
PERM
!II SPOKANE COUNTY — BUILDING CODES DEPARTMENT
J NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
eei. V
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED 04 * * 1 2.0 0
1.
00 ii5
LOCK LOT / �9UB171VISION t4 PARCEL NUMBER/S 1 �.
2. * 1 2006
OWN RPHONE A * 000
OOJ
3. `f 0 1 / /t/ J t9 IV
Ab ESS ZIP Actual Set Backs in Feet 474, 9g
If I 'V 9 / 7 - I I C 1.1 North 'South East (west 05- 15-81
CONTRACTOR PHONE Size of Parcel Zone Classification
a. N D 8C- 0 j4.- f+ T/A' 6- Cv 3'Jt�_ Yf7 - z 479
ADDRESS _. ZIP/ F `�' ZIP Type Const. Occupancy Sprinklered
J-
0 SL / T I C N / f i-e 6 Dyes ❑No 0 Req'd. e
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 Unfln. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER -
WORK 0 BLD. 0 PLMB. F MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRI WORK Enum. Dist. Location (Area)
8 sb-7,o,� FEES COLLECTED
VALUATION SOURCE/ GAS ELECTRIC WATER SEWERUSE CODE
Ownership
OF
9. UTILLITIES Public 0 Private ❑
— 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
D
DATE OF APPLICATION /f SIGNATURE OF APPLICANT • I ( /C ..� Mech. /
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE /�/�I Plan Check
Env. Health �.���7/'��- ./J'1�1�[�C- - ( 6z f-i�"'y'C..' >
SEPArj
Planning
/ _ / /, C `
/ ex-",Fire Marshall Mobile Home
Co. Engineers .-/ Other(Specify)
Utilities C/1),,t,,,,2_,_4,10._,-(--C---)
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
n. Idi _ician r PERMIT IS NONTRANSFERABLE 0`5 ��'5J. I-8'x11 4 SCO z * l 0.a
�y i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL