1981, 09-08 Permit: 81A-9012 Sink, Tub Ob- APPLICATION/PERMIT PERMIT NUMEd_.R
I SPOKANE COUNTY — BUILDING CODES DEPARTMENT ' �'I cls'3'
'(� f NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
�'// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 6928 E. 4th LEGAL DESCRIPTION — SEE ATTACHED
03 * * 1300
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. AAP 531 --- -160 5 -9 * 1 3, C 0
OWNER PHONE
a Carol Bell 926-0409 ErnPirc, J4 Lit Jr,-) b I * 1 3.0 0 Y
ADDRESS ZIP Actual Set Backs in Feet q * 0 0 0 ES
6928 E. 4th 99206 North !South East West
CONTRACTOR PHONE Size of Parcel Zone Classification 9 0 1 1 z
same
4. 0 ZIP Type Const. Occupancy Sprinklered 0 9—0 8—8 1
Dyes ❑No 0 Req'd. 0 6 4 7 0
DESIGNER PHONE Valuation Building Area in Sq. Ft.
NA
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER -
WORK 0 BLD. 51 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. ILocation (Area) FEES COLLECTED
8. sink, tub �F� C�tr2 `7 ��E-c��ar�> I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE ..
OF
9. UTILITIES Public ❑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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing I,)
. all a-ry _1>eveLc:•rnP
DATE OF APPLICATION `z I I(:) /I SIGNATURE OF APPLICANT Il; ' L....111.6S lMech.
SPECIAL APPROVALS ! SPECIAL CONDITIONS:
NAME DATE Pian Check
Env. Health
SEPA 2
Planning ,_a
— w
Mobile Home i
Fire Marshall
Li.
Co. Engineer Other(Specify)
Utilities
TOTAL $ 13
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil i_ng�IT chnician �.m PERMIT IS NONTRANSFERABLE IQ 9i-1,Q18''!i1' 8sl, 9� Q 12 Z *�'�,, n a -
�� `, e �` c, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL I