1981, 08-05 Permit: 81A-7797 Plumbing Fixtures PLAN NUMBER Ili APPLICATION/PERMIT P,t MIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT p Sl 1�G7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
el
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
O1. -/ u� 5L p LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 3 3.000 N
LO B CK S DIVISION PARCEL NUMBER/S * 3 3
2 OWN R f P ONE * 33.00c,
EZIP Actual Set Backs in Feet
�t 0 .)( 941. North 'South East (West 7 7 9,6 g
CO NIT RAR2 ! P �� Size of Parcel Zone Classification 0 8—C 5—8 1
4' ADD/R S/S /�s •� Z ///� Type Const. Occupancy Sprinklered 6 4 7 9,
//( V F �f�1K ��VYJ
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
TYPE
El NEW ❑ ALT. XD'N. ❑ RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ElPLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. •
of EXEMPTION
DESCRIBE WORK .. Enum.Dist. Location (Area) r
8 � tr FEES COLLECTED
VALUATION
SOURCE GAS EL CTRIC WATER SEWER Ownership USE CODE
OF Public 0 Private 0
9. UTILITIESSingle $
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 7—r 41-1-2'—'
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE j " Plan Check
Env. Health 4 L.,. a`.l
SEPA a-
Planning j j Q l{� t O
( I� ( f� Mobile Home -I
Fire Marshall 1 i.,L` 4)/ --i
( V'� ti
Co. Engineer r ( J� "ff e„ � / Other(Specify) ,O 64
Utilities 7 /X 72
2-- c)� 1 y TOTAL $.. 360
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
\ ildin echnicianrli PERMIT IS NONTRANSFERABLE 10:8J-1 .�}'+89. 7,19,7'5 *3 3 0-.0 0-1J- -
./�C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
414