1981, 08-10 Permit: 81A-7917 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
ell
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS ` ff
r"%- X7$1
3
LOT
BLO K
SUBD
O � �
PHONE
Required Set Backs in Feet
North 'South East
ADDRESS
4-1
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Y?�
'West
CONya�6T-0R
4.s>G—�-� _/ ,-�--,jam-
ADDIS
PHONE
-›-#--7‘
/
Size of Parcel
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
NEW 0 ALT.
0 PLMB.
0 BLD.
ZIP 907 J4
PHONE
ZIP
TO
❑ AD N. 0 RPL. 0 MVE.
❑ MECH: 0 M.H. 0 POOL
0 OTHER
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
Storage
Rancher
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
DgRISE WOR
8. t LCL
VALUATION
9.
Source
of
utilities
GAS
. ELECTRIC
WATER
SEWER
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
to give authority to violate or cancel the provisions of any other state or local law regul ting constructio ?or the
performance of construction. S'rRAry Li ��yF3�>11V€:
-/�1='0
DATE r` 'r. SIGNATURE
DEPT.
SPECIAL APPROVALS
RECIPE). RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
'1L�
DATE • OFF0s6_ '
APPRI' i 1 I SUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
)
1 ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /3-6 0
PERMIT NUMBER
StA- 917
DATE
03* *13.00
* 1300 n
* 13006
A *0.00
791,68
08-10-81
2 6479.
WHEN MAC INE VALIDATED IN THIS SPACE,
THI C SA PERMIT.
U- ,=81,
791.7g *13.:00'0.