1981, 01-29 Permit: 81A-0988 Plumbing Fixtures tp(,)LAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT t A- - . A7).
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
111 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES p 3 * *-4 5,0.0
JOB ADDRESS
1. 1 7 `,�1 i�rn�, LEGAL DESCRIPTION — SEE ATTACHED *4 5 0 0 n
LOT `BLO K SUBDIVISION PARCEL NUMBER/S *4.5 0 0 6
2. CD
Ve-t11-0-1,
A
OW ER PHONE *0,0 03. j'_I3 t wae° cj,Z iy--,5"-,(11
/ 9 8;7;2
ADDRESS �0 ZIP Required Set Backs in Feet
6— /4/70F � 0 creat .0 . l re 37 North 'SouthEast West 01 2 9-8,1
CONTRACTOR PHONE Size of Parcel Zone Classification •
" e v 6.2)." ��' 72c/-4,0(„ 647
9,
4. IISS ZIP Type Const. Occupancy Sprinklered
- , n , 0S, , /LuteC :.4, 7/C)37 ❑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.
No.Baths No. Floors No. Rooms Rec. Room
TYPE g NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8 DESCRIBE WORK d i /j
/ /� �' 1.6,,' 7�`- 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 cons ru/ction. /�// Plumbing �`�
DATE i / g! SIGNATURE �' _ 7 GtG-C�^- '
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health jw,y.r! '
C�l_ / ��� SEPA I-
K-A7 I-
O
Planning �' — U
Q w
Fire Marshall /._ -G�•//� Mobile Home cci-
- /1/44-W-1.--t- -
Co. Engineer Other(Specify)
Utilities
/---/—
C{.-1644
v / L
/ TOTAL $ �`1
Zone Clearance /— IQ 1/ct.d.-1,-- •
_ P q�,� WHEN ACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / "'�-/ ,/ I ekieti ( T I EQS,gy_ RMIT. Q
I DATE/ ^2 OFF IA— � � � 7 :U 9 &85 *4 5. 0 0 a l-
APP'I : OR ISSUANCE -