1981, 03-27 Permit: 81A-2839 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT $ip -ZSR
' c ) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. S. 3804 Woodruff LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S0 * * 00
(.
2.
OWNER PHONE ' `,
3 ADDRESS'S. & Associates, Inc. 928-3380 * 5700,
ZIP Actual Set Backs in Feet
S. 326 Pines Rd. , Spokane, Wash. 99206 North 'SouthEast West A * 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Mi 11 er' s Plumbing 483-2025 2 8 F
4' ADDRESS ZIP Type Const. Occupancy Sprinklered C 3-27—P.
_C7_P1
E. 623 Liberty, Spokane, Wash. 99207 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 6 4 r' 9
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE th No.Baths No. Stories No. Rooms No. of Dwellings
UV NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK 0 BLD. IA PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) 1
8. Plumbing installation - New - SFR FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 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 52.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
-------
03-24-81 �
DATE OF APPLICATION SIGNATURE OF APPLICANT %4 i c-e- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
plAME DATE Plan Check
Env. Health 13 Fixtures @ $4.00 ea. + $5.00 Permit Fee = $57.00
SEPA n
Planning 1) Kitchen sink, 1) Dishwasher, 3) Basins, 1) Tub, D
Fire Marshall 1) Shower, 3) Toilets, 1) Laundry, 1) Water heater, Mobile Home -
1) Floor drain. U-
Co. Engineer Other (Specify) 5.00
Fee
Utilities
TOTAL $ 57.00
Plans Examiner
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buildin g#.,echnician PERMIT IS NONTRANSFERABLE 01)i'-'2i7,71'`l 2 8'3,9 °z' * 5 7 0.0 2 F
c - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL