1981, 08-31 Permit: 81A-8744 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
L
T
SUBDIVISIQN
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OWNER
3. - g .4
ADORES
" 7t -C) CONTRACTO i
4. ADDRESS
PHONE
ZI P
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 24.53 I 09-701
Actual Set Backs in Feet
North (South East (West
PHONE
Size of Parcel Zone Classification
ZI P
Type Const.
Occupancy
Sprinklered
❑Yes ENO ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
e-rw❑ ›.4-. ❑ AD'N. ❑ RPL. ❑ MVE.
0 BLD. PLMB. 0 MECH. 0 M.H. 0 POOL
Area of Decks
Finished Basement
Unfin. Basement
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESC IBE WCIRK
8. PI X'i Iif-(i)
VALUATION SOURCE GAS
OF
9. UTILITIES
Enum. Dist. I Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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
type of work will be complied with whether specified herein or not. The granting f a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law r ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTJeLiS
DATE OF APPLICATION
r-3 tg(
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui .'ug Tec
u, JJ J17 -r►
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
g'� - g7 4
03* *9.00
*9.00
*9.006
A *0.00
874,32
08-31-81
2.6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,81--31'x81 87435
DATE ISSUED PERMIT NO.
*9.00
TOTAL.