1981, 08-03 Permit: 81A-7724 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY BUILDING CODES DEPARTMENT ���` 7%-
t V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOBA DRESS (-), rr , Q3 * * 53,00
LEGAL DESCRIPTION — SEE ATTACHED
1. .. (�)I i3. , 9 ' i. !�' etf1 * 3.0Q
�►
LOT BLOCK SUBDIVI ON PARCEL NUMBER/S
2. * 53.006
3. a�l)t /� /Iyl ��Ff
ADDR /, �#/p(����r/y j Actual Set Backs in Feet 7 7 2 3 g
"/i` 1 E. ( / /J�/ North 'South East (West
EaIVTR T 7410
410 :41V1 Size of Parcel Zone Classification 0 -0 3 8
`\Jl Ell r a t����JJF�Fj��JJ[[11 a!J
4' bC�pF D S nigl ` J9 7�) 1�� Type Const. Occupancy Sprinklered pb, 7 9.
V to ��� ��Li +,/ �C.l • �!` �H" DYes ❑No D 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
Y 'NEW 0� ALT. D AD'N. 0 RPL. 0 MVE.
7, OF Cr BLD. I' LMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
SCR' E W K y YYr� Enum. Dist. I Location (Area) ` FEES COLLECTED
8. 11 V n ,f I t~hcki `.c- -e ( K ,.�i�f'I'�: /ill ) I
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 '75 ;()Cy
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS - / Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT -�� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE /c f', Plan Check
Env. Health
J' - / " -' SEPA >-
a_
Planning i —A<Si ik a
f w
Fire Marshall /;_/W j !"r 1 Mobile Home w
ii
Co. Engineer / „I_C),��t�. r,
Other (Specify)
Utilities /
G ®e TOTAL $ �'�'CO
Plans Examiner - .,;'fti7,'.:e ,-
I' WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
+ :l
mu' .. • Tec an PERMIT IS NONTRANSFERABLE ,0`8 4'7f-"811 7 7 2,4 z *5'3.0 0 d F —
��� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL