1981, 07-16 Permit: 81A-7116 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT P ei ' -11((-
,o ,' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDR s 4 LEGAL DESCRIPTION — SEE AT0 3 * * 2 t 0 0
1 LOT 6 BLOC a UBDIV'ISIA G le� PARCEL NUMBER/S * 2 1. 013 N
2. * 21.00
OWNER / PHONE
3. f' 'tt € Afieek,1 g1Zs 3352 _ A * 000
ADDRii�/// ZIP Actual Set Backs in Feet
V e," C,1f2., 7 1 1.5 North 'South East (West
C(/ -11 T R PHONE Size of Parcel Zone Classification 0 7— 1 6—8'1
Gl�� .�nc. 3a�se0oa
4'
A-7/REDSS ' ) ZI /� Type Const. Occupancy Sprinklered 6.4 7 9.
/+ ; (/�% L �9ao/ Oyes ❑No 0 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
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF J ❑ OTHER
WORK
0 BLD. B. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED s
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public D 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 regulating construction or the r / „
performance of construction.SE REVER E SIDE FOR REQUIRED INSPECTIONS Plumbing
l�
G'
DATE OF APPLICATION /5-- SIGNATURE OF APPLICANT '-"\-64"-eltlJ—f.-2'i✓ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ` �t et
_ .t Plan Check
Env. Health 1
! 645 n
Planning SEPA -'
l S f 'waf I
Mobile Obit
Fire Marshall
Ci:
1 Tr°ki S
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B 'din..
Technicia. PERMIT IS NONTRANSFERABLE b'T'7;'q; 6''-'8''1 7 1 16 z *2'10021-2
-
: .
. f P , PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL I
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