1981, 01-08 Permit: 81A-193 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
T SPOKANE COUNTY — BUILDING CODES DEPARTMENT `
li/ NORTH 811 JEFFERSON / SPOKANE_WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED 0 3 * * 3 7. 0 0
1. C - -T$t4 .SK4 G,iNS
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 7 0 0 N
2. * 0
OWNER PHONE 3 7.0
3, MAR.) +N SC-Al2CEt4.C� 63 -47c7 A * 0 0 0
ADDRESS ZIP Actual Set Backs in Feet
1`,1.S E.. 1-sr14 c ci 2O-"?..- North 'SouthEast IWest 1 9.2 2
CONTRACTOR PHONE Size of Parcel Zone Classification
SArvis 01 —08-81
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
6479,
Spam C Oyes ❑No ❑ 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.
TYPE ,( No. Baths No. Stories No. Rooms No. of Dwellings
U NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. g PLMB. 0 MECH. 0 M.H. CI POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) ' FEES COLLECTED
8. 5 Fl k'C to PJZ. 1
VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE
Ownership
OF
9. UTILITIES 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 local law regulating construction or the ...,i
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS , Plumbing
1,
DATE OF APPLICATION + SIGNATURE OF APPLICANt v Mech.
/' �'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health 'L- StrvKc
1 INC-OcC ) S(I' SEPA >-
a_
Planning p
-Z_ 'T a5 - _ c.)
Fire Marshall Z -16 Mobile Home J
CZ
Co. Engineer , 4A(4 flXy -j tA'9 Other (Specify)
Utilities _
TOTAL $ � /.`-d
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B -'din Technician * '7,
PERMIT IS NONTRANSFERABLE 0 1 '!Q g '$'I'; 1 .95'z` 3 0 0 2 li'-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL