1981, 08-25 Permit: 81A-8505 Sink PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
//'�� SPOKANE COUNTY - BUILDING CODES DEPARTMENT 1� hC7
L. "' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
vir
JOB ADDRES� �'> LEGAL DESCRIPTION — SEE ATTACHED
1. ,_, - , . /,-. .9/4,-, \,__ d/l's "
LOT BLO K SUBDIVISION PARCEL NUMBER/S
2.
OWNfR i PHONE 0 3 * * 9,0 0
a L. ' ' NU? L...., C-46-4.1."..„
AD ESS /� Z(jp ��1 Actual Set Backs in Feet
j _ �, I( `+j �, ( _�� /%cX /� North (South East (West * 9,0 0 cY�
CONTRAC OR PHONE Size of Parcel Zone Classification
4.
i.-0./x2- L_�(.Ve--lLt2 ,i -5� -/J 70
ADDREZIPP Type Const. Occupancy Sprinklered 8 5 0.4
' 0 /
,3-7° 7 �gQc () Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 8—2 5—8
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 4 9 _
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. 0 MVE.
7. OF
OTHER
WORK
0 BLD. ,. LMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
_
DESCRIBE WORK E Enum.Dist. Location (Area) T FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Y Public 0 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 loc. law regulating construction or the r
performance of construction.S E REVERSE SIDE FOR REQUIRED INSPEC ONS Plumbing
C
DATE OF APPLICATION __' SIGNATURE OF APPLIC�'' -!- -4_ �. 1L.,r. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
0._
Planning _)J
Mobile Home `-`u
Fire Marshall J
—
Co. Engineer Other(Specify) /�
Utilities 90e
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
1 1
ilding Technic'
! 0'`8 PERMIT IS NONTRANSFERABLE .01—'25-81
81 85Q52 o •
*9. 00aO �J�". -
....„..Q....., PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL