HomeMy WebLinkAbout1981, 01-27 Permit: 81A-856 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
D
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 0 id — 8.-
0...) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
3 * * 4 5.O O
1. x/5-0 c a.4761%e LEGAL DESCRIPTION - SEE ATTACHED * 4 5.O O N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 4 5.O O 82.
OWNER PHONE A * 0 0 0 O
3.
ADDRESS ZIP Actual Set Backs in Feet 8 5.5
North !South East (West 0 — 2 —
CONTRAC``TO���R /? j
PHONE Size of Parcel Zone Classification
ADDRESS ,� 6_ - ZIP Type Const. Occupancy Sprinklered
6 (t 5/1i ete14' ❑Yes ❑No ❑ Req'd.
DESI-GNE'R PHONE Valuation Building Area in Sq. Ft.
ADDR SS i+ ZIP Main Floor Upper Floors Garage Area Storage —
1 V c • /--rsele A
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER
WORK LD. XPLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK,..., J ��/ Enum. Dist. cai (Area)
$ / "H7 6 e /k uJ L/ G yip, !L0t0n FEES COLLECTED
VALUATION /
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building >� , C
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the / , 6�+� % "�/
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION / ? — SI SIGNATURE OF APPLICANT��`e2 10/'" Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: j
NAME DATE �.e/� /��// /d J,/A.,.� J Plan Check
Env. Health �" y/ '�``. __�/"�_
Planning q/.✓ iGi4'LBZt�� / SEPA r
Ae ? i
Fire Marshall Mobile Home
Co. Engineer ` �� I/� A! Other (Specify)
Utilities j` �r� do
�� TOTAL $ ik' ��
Plans Examiner "• � . ..:
sr -'� / `--- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist `� - THIS BECOMES A PERMIT.
9
�� __ - 1�
B (ding Te h n i cjia n PERMIT IS NONTRANSFERABLE 0 Il- `��7 �8. ,� 8 5,6 z * 4`5.0 0 a g
1 a-stPERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL