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1981, 05-05 Permit: 81A-4323 Plumbing Fixtures LAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I , SPOKANE COUNTY — BUILDING CODES DEPARTMENT P g� -at-523 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 ......4='I APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. /q2o _ Qi!b4 fig(' P7 LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK/ SUBDIVISI N PARCEL NUMBER/S 2. 03 * * 00 OWNER ••--��.. � PHONE * O 0 N 3. •J® � r!�f.�.6 _ Ot Y ADDRESS ZIP Actual Set Backs in Feet * 1, 0 ti North 'South East 'West CONCTOR PHONE Size of Parcel Zone Classification TR6© G v!- VW-c.. /llcaw9,u/ct le-, bac V`/-3512:_, 4. ADDRE/�� ZIPwv / Type Const. Occupancy Sprinklered (J c 7 5- �-t/Zr's'� ! O°2/C, Oyes ❑No 0 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. No.Baths No. Stories No. Rooms No: of Dwellings 0 3 * * 8 1.0 0 TYPE ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. 8 * 1,00 7, OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd. WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. CI POOL of EXEMPTION * 8 1.0 0,, DESCRIBE WORKEnum.Dist. I Location (Area) 8. /A' Fite-7tj,d pc, FEES COLLECTED A * O. 0 0 I VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 4 3 1.9 2 OF 9. UTILITIES Public 0 Private 0 Single $ 0 5-0 5-8 1 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 2 Q 4 7 9. _ 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 regu - '•! construction or the �/ performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing"At , ` DATE OF APPLICATION , '":--.5-''" l SIGNATURE OF APPLICAN77.10 ....doomor Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health i 0 2 12)46.5 l, K��2� SEPA >" Planning L •• O 1341344- J � Mobile Home w Fire Marshall � 6,,ea_f ,y Co. Engineer 1 � Other(Specify) Utilities / /V� //��' 7�/e- /GfJid TOTAL $ V Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. 4 B din echnician PERMIT IS NONTRANSFERABLE 51-0''`I•'8'.1 4 3 2.3 Z * 8 ].0 0 °a r-^'� £ 7 5 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL