1981, 09-14 Permit: 81A-9291 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT etA - �1Za
(1) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 4
a
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
VII
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 0 3 * : 1300
OODLA a� 1 3.00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 929.0-2
OWNER PHONE
3. E2 cST 6 , %cck.)Sotv ev3.')--4143 09- 14-81
ADDRESS ZIP Actual Set Backs in Feet p 6 4 7 9
j` \ 1.0067 c.A qct 21 G
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4.
GA Ake
ADDRESS ZIP Type Const. Occupancy Sprinklered
Si Oyes ❑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.
TYPE �{/ No. Baths No. Stories No. Rooms No. of Dwellings
CJ NEW ❑/ALT. 1=1 AD'N. 0 RPL. 0 MVE.
7, OF CIVJ BLD. PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area) FEES COLLECTED
8. .2 Ft -Yuc ,
VALUATIONSOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
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 the4.
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS r Plumbing r3•cy:2)
V/ATE OF APPLICATION/t Ji/,-.g/ SIGNATURE OF APPLICANTAAAJ110 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE t . S 1l -_S Plan Check
Env. Health
SEPA }n...
Planning C�
Fire Marshall Mobile Home __.1
Co. Engineer Other(Specify)
Utilities
- TOTAL $ I3, .-)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•
BIdin echniciaj.sPERMIT IS NONTRANSFERABLE ''0:'9j-'�i'4�
'-'8�1 929.1 z *13'00 °ah'-
PL mJ/ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL