1981, 09-16 Permit: 81A-9417 Plumbing Fixtures PLAN NUMBERAPPLICATION/PERMIT PERP,IT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
eii NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADD1. 3 /REss // LEGAL DESCRIPTION — SEE ATTACHED 0 3 300
LOT I BLOCK SUBDIVISI N PARCEL NUMBER/S
2. * 33.00
OWIyR
- ..T / cify .J J 1- /// 7g3 A * 0.0 0 :i
3. ADDR.E,SS0 i — Ail Id, V j `_ NorthkP 'South
Set Back'Sout in Feet East 'West 9 4 1.6
CO,°;�R-A-CST-O L ` P L V Size of Parcel Zone Classification 0 9- 1 6-8
4. i -. , Eli Fein- . Vt SP.S 72k�C4Z s 6.4 7 9
ADD ESS P� f{� Type Const. Occupancy Sprinklered
I/ /_ • -0 ❑Yes :No ❑ Req'd.
NEO PHONE Valuation Building Area in Sq. Ft.
DESIGNER
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
x No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
/L�NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF �{ ❑ OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. JAL PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK / Enum. Dist. I Location (Area) T FEES COLLECTED
8. �- CL-i-Y2. � ` '-4C 41744.e-d am
�s' 1
VALUATION SOURCE GAS ELEC RIC WATER SEWER Ownership USE CODE
9,
UTILITIES Public ❑Private ❑
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 per ' -•t presume •
to give authority to violate or cancel the provisions of any other state or local law regulati ! onstruct n or e � .
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
_794'v/DATE OF APPLICATION / SIGNATURE OF APPLICANT �/� Mech.
SPECIAL APPROVALS PECIAL CONDITIONS:
NAME DATE jj - FJ'' lie� ,y Plan Check
i Env. Health vv
r�—�� d v SEPA
/ v °C..'
CD
Planning / — i /G ' _ ,_>
..---
Fire
� Mobile Home "-I
Fire Marshall n. i--- ��a // , • O •i
Co. Engineer { _ c i ld Other(Specify) 5- CO
Utilities `j P, . ,00
(/ WW F TOTAL
Plans Examiner
' (Va.,1e( WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / THIS BECOMES A PERMIT.
Allan c PERMIT IS NONTRANSFERABLE I
p0q1_i x._16 1� 9'417 Z *3 3,0 0 ° i
-
,
`i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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