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1981, 09-09 Permit: 81A-9059 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT Q PERMI•f NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT f "R I1 UMBER ro ) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS0 0 //'�.6VA-X) `d, 9, 1. sf •C �,��� LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 4 LOT BLOCK SUBDIV SION PARCEL NUMBER/S * 4 Q c o j 2. /) //gyp / CI�O'f / NE 3. OWNER ' / r l/ 'l ' /O` * 4 G9. 00 0<Yi K /t/ ©/Z 17 A * G. 0 0 F�'. /`Q 4/� ,/) ZIP99�,9C NorthAal Set Back'Sou'South in Feet East (West [jam' /// /V_ 7/�G// 905. 8- CO ACTOR „i PHONE Size of Parcel Zone Classification 0 9— Q 9— 8 1 a. ✓ -r' 2; 1 ` f.�,,,,,,i t,ve, p� 3317C/257 roc, ��c/, ,53 ZIP Type Const. Occupancy Sprinklered ! 6.4 7 9, �i 7 CJ� / Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. r 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 -NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7. OF 0 OTHER WORK 0 BLD. %PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum.Dist. I Location (Area) ' 8. ii C/ x �-/rGiJ I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public ❑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 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 regul ting construction or the �/7' ,c3 performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing �r v C! DATE OF APPLICATION / /3 /51 SIGNATURE OF APPLICANT �-r/ a... C- -- Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE /) T n Plan Check Env. Health ! L f � / — 6/1,0 Gr SEPA >' Planning J - Ci rt. /62;/e-ls Fire Marshall Mobile Home w ' J_ LL 4 47.4.1A- Co. Engineer / — //r �'rAt.)i/ Other (Specify) l'7 r Utilities /-- /�v?�Jitr-� /�r �. TOTAL $ ( T/erej Plans Examiner /, AzIti_4a3 / SEPA Checklist l- / VX WHEN MACHINE VALIDATED IN THIS SPACE, Di l.C'L�'-55ke r' THIS BECOMES A PERMIT. Buildingp,oy Technician 1 `` �'`-+Z-r.PERMIT S NONTRANSFERABLE . '019 --'11;9-'—'8 la 9 0 5.9 z * 4 9.0 Q a izi - �()VI/d PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE ,, . DATE ISSUED PERMIT NO. TOTAL