1981, 03-10 Permit: 81A-2259 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT ioPERMIT NUMBER
r gid-.2.2....;
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
I V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
vir
JOB ADDRESS ,.?. ,1 t) r-- LEGAL DESCRIPTION — SEE ATTACHED 0 `3 * * 1 3. 0 0
1. +� / 57��"l'/� * 1 3. 0 0 tii
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 1 3.00 ,.
OWNER �`
_ PHON
3. /'ld-fiA, (r' - « it 5 -� %l A * 000
it U�`
ADDRESSf - ZIP Actual Set Backs in Feet 22 5,8_
v! E_5 '3 .7 7 „171/7Z--7 North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 3- 1 0-8 1
I'�4 tzrr�� S ; �-rib 11`/ -..24:/-" Von 4 9.
4' ADDRESS / r��`h ✓� ZIP Type Const. Occupancy Sprinklered
L. / 1 3/3 / / -z7^- -- �/v Oyes ❑No 0 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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ��MB ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER
L7CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. PL .
of EXEMPTION
D SCRIBE WORK Enum. Dist. Location (Area) '
• ) I FEES COLLECTED
a �4I i Cir f 1-f.CC' A-�(.f 4.44.1,-U..-L��,'r^ ,-- l
V LUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public 0 Private 0
9. UTILITIES z 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 /
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS izeta'
Plumbing
4
DATE OF APPLICATION 3 —/Z ��� i'�ki SIGNATURE OF APPLICAN� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
5/AIk SEPA
R
Planning c�
—
�.f r Ix1AT�/r �Auq/K Mobile Home
.i u
Fire Marshall /
J
Co. Engineer Other (Specify)
Utilities
0_2_
TOTAL
TOTAL $ i"-'�
Plans Examiner .
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil ing Tecgnicia PERMIT IS NONTRANSFERABLE fl I ,l fl _8 . , 2,2 5.9 z *1 3.fl 0 a
Buil)
����L' ,-;(744;71::";_ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL