1981, 12-09 Permit: 81B-2591 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NU^i1BER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
MI
JOB ADDRESS r / LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 03 * * 53, 00
R -� P
3. Q �' Piike4.? '/ / F ON
4,,i,, * 5 3 0 0
AiDD $_ ZI, 1 / Actual Set Backs in Feet * 5 3 Q O
l/ ,5 �� Q(.11s� North (South East (West
/C01V,TRACTOR PHONE Size of Parcel Zone Classification A * 0 0 0 E
J ��
I, P C'l _53:
4• AO'CD �5($ /`j }� �y/ (/ /) a� �.tj�// Z Pc/�� /�/ Type Const. Occupancy Sprinklered 2 5 9,U,c
AV.,R;9 1V///l,(i�91i/dye. 16/"(1 /�tJ Oyes ❑No ❑ Req'd. 9" Su
DESIGNER PHONE Valuation Building Area in Sq. Ft.
29 6.4 7 9.
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 [SEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF �r}� 0 OTHER
WORK "�D. T PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESC BE WO KEnum. Dist. Location (Area) '
�/ / _ j x r� FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE .•
OF
9. UTILITIES Public CI 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 yi/ 04...1,1'
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
. )-- / Mech.
DATE OF APPLICATION /7 �— � SIGNATURE OF APPLICANT C. • -
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE / Plan Check _
Env. Health �' '' •eI/ /�IS
/ `3 SEPA C-
Planning �Cr� <D
J �'� !!! Mobile Home w
Fire Marshall — �'/74()/XI
lapLXI (Ie u_
L
Co. Engineer / Sint Other(Specify)
Utilities / - ` Q,4/�� �
TOTAL $.�=' '�
Plans Examiner e4. {/r4f ��4 J )
j °9 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ` THIS BECOMES A PERMIT.
Building echnician PERMIT IS NONTRANSFERABLE 12�r'—a.0 9:-`'8'1 259,15 *5 3 0 0 a F
Building
' r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL