1981, 09-23 Permit: 81A-9708 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER t
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '0 b l Ia _ �� a
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
ADDRESS
11/
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
--F, 0-6CCI
North South East West
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK—
Zone Classification
PARCEL NUMBER/S
2.
4'
ISUBDIVISION
OWNER
ADDRESS
PHONE
3.
Occupancy
Sprinklered
<52i "MAPiLE-(
e1q.Aa
ADDRESS
ZIP
Actual Set Backs in Feet
C � I .' V V4
gor,111JOC
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
<52i "MAPiLE-(
e1q.Aa
[--]yes ❑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
s.
TYPE LTJ /NEW 1:1 ALT. 11 AD'N. 1:1 RPL. 1-1 MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF1:1OTHER
_ /D.
WORK 1:1BLPLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 F i
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑ Private ❑
Single $
1 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
`✓�
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing ��d`�
t,/DATE OF APPLICATION / — ;� _� '' `J SIGNATURE OF APPLICANT / /� l .
Mech.
SPECIAL APPROVALS
NAME DATE
ning
o. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
/) //. t 11�._
SPECIAL CONDITIONS:
S:�tcS
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ('-'
03* *21.00
*? I,00 0
9%077'
09-23-81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.091-2- 3='8l 970,825
*.21OOa� -