1981, 06-04 Permit: 81A-5508 Plumbing Fixtures jPLN NUMBER APPLICATION/PERMIT lD PERMIT NUMBER
'-- g SPOKANE COUNTY — BUILDING CODES DEPARTMENT 5
+ ei NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JO.
AD RESS
, 11. 4 , i� g- LEGAL DESCRIPTION - SEE ATTACHED 0 3 * * 1 ..0 0
* 1 7.00 V)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 55072
OWNER
1,,i1.;!..,14.00
PH '
� � r
3. bd126,� Ko Lo6-04-81
ADD ESS ?IP Actual Set Backs in Feet 6 479.
141, 1 North 'South East West
CONTTR; l�/1 CTf�t_ PHONE Size of Parcel Zone Classification
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑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 NEW ❑ T. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER - Req'd. Rec'd. Not Req'd.
WORK
0 BLD. PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE OR1KwIEnum. Dist. I Loc
ation (Area) t
8 �7LLJJ � ri, � 4� /sJ
FEES COLLECTED
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 1- r
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 6 5 ( SIGNATURE OF APPLICANT ,GrE� i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 6Plan Check
I KiEnv. Health
I L/(1) SEPA
Planning ' ll i-D
Fire Marshall Mobile Home -U
ujif
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildi • echniiian PERMIT IS NONTRANSFERABLE 'O!I)i'',;fl'4':-'8 1,' 5 5 a 8 z *1 7.Q Q a F
— ! PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL