1981, 09-29 Permit: 81A-9934 Plumbing Fixtures PL-/N NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT igtA -
7734--.
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 3 7 0 0
1. j=, 1,S4-Lg q lk LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION x
PARCEL NUMBER/S '
2. * 3 3 0 7 '''-
OWNER
OWNER
3. vi.t c'rSi T%r°c4 ri/-/rt' V i-i. P `/`'7/31 r'
ADDRESS/ �� ZIP Actual Actual Set Backs in Feet
9 G, 3 (`
`}i !'6l V ' rt , / / / p�L ;e- North 'South East IWest
CON ACTOR 4J' PHONE_ Size of Parcel Zone Classification ( O_2 9— >^ 1
4. Kat.4i7a. 4 F/�.vh.bI it.c� , Li
DRESS �J f, [I �7 G
Y (9p�J ZIP �� Type Const. Occupancy Sprinklered
t0. �,X t3 ( m ...10 DYes ❑No ❑ 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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
EW ALT. 0 AD'N. 0 RPL. 0 MVE.
], OF C7 ❑ OTHER J
WORK 0 BLD. APLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK �] P---,
r Enum. Dist. Location (Area) '
8. / K•-}. IT, FEES COLLECTED
VALUATION SOURCE 66GAS ELECTRIC I WATER SEWER Ownership USE CODE
OF
9. UTILITIES, Public 0 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 'ermit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law lating constructi, or the ` J ✓'�' C�
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing
DATE OF APPLICATION 9( i / lSIGNATURE OF APPLICANT *1 A Al fit .1',‘ / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
•
NAME DATE ✓ ( Plan Check
Env. Health /—/1(.
i SEPA >-
Plannrng t f j�;le
CJ
Fire;jVarshall i 4C Mobile Home W
J
X.
Co. Engineer / r .i.#(_) Other(Specify)
Utilities / P/6L•C6j . �q
/ -- `-,•70, 6 Z TOTAL $ 6.9-zPlans Examiner Z.�
�/ ,L4 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / La ,G L t �' `! THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 93-,2 9:-8 'l± 9 9 3 4 5 *,3.3 0 0 2
`3 ,ec6t°'�'f- 20-, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL