1981, 07-17 Permit: 81A-7157 Gas PipingPLAN NUMBER
— JOB ADDRESS
1. 5. �'r-� l
OWNER
3. 1� ai2--!
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS H4RD TO MAKE 3 COPIES
I08Px LEGAL DESCRIPTION — SEE ATTACHED
5 BDIV tt IOIv I PARCEL NUMBER/S
PHONE
ADDRESS
Z�IIP.
Actual Set Backs in Feet
JL' C i� c—i4�.�
7
(q4(?—05,
"l4l ?—
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
l2�pLE +�taur►ti ;r1;C
''— ��
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Z
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basem(
6.
I
No. Baths
No.
Stories
No. Rooms
No. of Dwe
TYPE R/
60 NEW El ALT. 171 AD'N. ❑ RPL.
❑ MVE.
7, OF
❑OTHER
❑BLD. ❑ PLMB. MECH. ❑ M.H.
El POOL
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
DESCRIBE WORK
Enum, Dist, Location (Area)
FEES COLLECTED
VALUATION 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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS % Plumbing
r)ATG nG ADDI IroTlnni Y C ATI IQC 11C ADDI IrAnI r.11 / 1j/�j Mech.
SPECIAL APPROVALS SP IAL CON
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
ans Examiner
C
Building Technician
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
04* * 1 2,00
1`
*1200
R *0.00
715.6
07-17-81
6,479,
TOTAL $tZ: UO
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
715:7 z
*120a�.