1981, 04-07 Permit: 81A-3172 PLumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT p S 3nz-
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
n
1. 3 7/ 3 S Lc�eac�[ Rul
LEGAL DESCRIPTION — SEE ATTACHED * * 5 3,G 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 5 3 ^ v c~n
OWNER , PHONE
3. '1 ... rosb: 99?54"-S7Ce / 3 1 7. 1
ADDRESS ZIP Actual Set Backs in Feet 0 ()_0 7—8 1
North 'South East (West
CONTRACTOR PHONE Size of Parcel Zane Classification6 4 7 9.
4'
?, 7-i? /cry d/iit3 `iFS-3r,
ADDRESS / ZIP Type Const. Occupancy Sprinklered
/4 s/ "/ J 5 -c I toC.J / Sao ❑Yes ❑No ❑ 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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
KNEW ❑ ALT. D AD'N. 0 RPL. 0 MVE.
7, OF �r ❑ OTHER
WORK 3rBLD. 4°l PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORKl// / / Enum.Dist. Location (Area) '
8. �;VS/,¢l/ /Aci/I, %Ory/°;1 'Z' Fcx4-4 Ad i FEES COLLECTED e;;h -
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES Single $ uu�vS
Public 0 Private 0
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included fi _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 5ho weIE — /
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 4.57.p 1 d (<�
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ! G - h/ SIGNATURE OF APPLICANT c c -"-/e`.ti0 Mech. Co,SpeS/4 ` /
SPECIAL APPROVALS SPECIAL CONDITIONS: 4' — /
NAME DATE Plan Check ��`W
Env. Health
SEPA t! y
0.
�/ c.)
Planning C) ,.
Fire Marshall Mobile Home ' / -I
Lc
Co. Engineer Other(Specify)_
Utilities
TOTAL $ ?-t
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building.7ecnniciaann PERMIT IS NONTRANSFERABLE 014ti 0.7--8,1. 3 1 7,2 2 *5 3 O Oa H
W..,
�'j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL