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1981, 04-06 Permit: 81A-3143 Plumbing Fixtures
PLAN NUMBER APPLICATION/PERMIT ,p PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT j � y`'fes" elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 8 /Z �� _ 3 * * 1 3. G 0 � (1U. LEGAL DESCRIPTION — SEE ATTACHED * 1 7 0 0 iji LOT BLOCK SUBDIVISION PARCEL NUMBER/S z. �P�lQ * 1 3, 0 0 OWNER-ay._ ,) /7'!"J ,- („�7 Srs A * Q l� c� 3' ADDR ,/ �.C/l.T'u ZIP I Actual Set Backs in Feet 3 1 &2 C ✓a- 0 \i.i ` North ISouth East (West C RA TO • PHONE Size of Parcel Zone Classification Q'+—0 6 8 1 a. 3.1©-56 6 D z b.4 7 9, RESS�S�a / �� Z C ! 1��/ Type Const. Occupancy Sprinklered „�7/ Oyes ❑No D Req'd. D SIGNER 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. No. Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW D ALT. XAD'N. 0 RPL. 0 MVE. 7. OF El OTHER WORK 0 BLD. X PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK (, Enum. Dist. Location (Area) 1 � / _ FEES COLLECTED 8. r-d.r_fi,�vi✓L f _ ,I-tf.i.,44t-t,..4-+ ,--�.`//` z:-.�,1,i,,e�1 .d, VALUATION SOURCE GAS ELECTRIC/ W TER I S WER 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 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 r:.ulating constlUction or the tJ' performance of construction.S'E R.VERSE SIDE FOR REQUIRED INSPECAi J• Plumbing k DATE OF APPLICATIONAlir V / SIGNATURE OF APPLICANT Mech. SPECIAL APPROVAL S'ECIAL CONDITIONS: NAME DATE �'*� ) Plan Check ��� Env. Health \_/ s'� {j..LIJ - SEPA >- Planning I 1 `t�� _ O Fire Marshall (/`yid) Mobile Home w J 5 0 Co. Engineer Other (Specify) Utilities TOTAL $ 1z(� Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Bu�Iding Tecnici PERMIT IS NONTRANSFERABLE 0 .+f}.'6.-'81 3-14 43Z * 13.0.020 / .v;c//di.k/ .&-<_.., PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL