1981, 01-08 Permit: 81A-0198 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBERI° itL/+�1 / j
JJJ��� SPOKANE COUNTY — BUILDING CODES DEPARTMENT
1 'V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS J 3 * * 6 1,(; C
a LEGAL DESCRIPTION — SEE ATTACHED
,. � i $N''' C�«� C ��`. _ 6LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 61,00
OWNER�y / • PHONEA
/ tZf', ;�� z/LRS/"L. ' 1� ..�1 5 ler. A * C.I_ t..
L
3. -�
ADDRESSZIP Required Set Backs in Feet
1 97 _"
,<(< <' y L=C.;faJ C'k.1-,/- L.„,,,t4C d(" CJc..- 3 / North (South East (West
CONTRACTOR. PHONE Size of Parcel Zone Classification ( 1 - U 8—8 1
'---) J(., ,1 ( ( %[SY,.AC.aC-- 7
4' AD ESS / / ZIP Type Const. Occupancy Sprinklered 9
.- (.C'--) f)¢ • ' C..l..l-GL,,K, CC. i-tie._3 7 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE rotNo. Baths No. Floors No. Rooms Rec. Room
Sp NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OFl�y ❑ OTHER
WORK
0 BLD. r`� PLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. /1, 41 �Y _ FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
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
performance of construction. Plumbing `a!rliL7
DATE /q1-/- /lYL SIGNATURE + d "` j`,/, 1....--M A---'
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. �'ILPlan Check
•
/
Env.Health / tc 44,0 _ .6.,',0,9
,_
.3 Eft.'(7, , Its SEPA 6
Planning
Pal Mobile Home vp
Fire Marshall I 71.1,3 ,
Co. Engineer '2 Other (Specify)„
Utilities
//Lir TOTAL
Zone Clearance 1 Kir 41/-ye 1
WHEN MACH'}INE VALIDATED IN THIS SPACE,
SEPA Checklist1 THISI (
BEMESSA.P, EMIT. p
DATE /— CQ s' OF IA S/� •. —'0({ �,:.0 a ti'i0 1 7(�.0 z *6 10 0 a
S
A"'Ra 1 IR ISSUANCE _