1981, 04-01 Permit: 81A-3001 Plumbing Fixtures 1PAN
NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT f e►6 t
ei
t^ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 6 v 3 6... � LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 2 9, 0 0
1. / * ,i ,.00 to
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 * 29.00
OWNER PHONE * O.r� r 0
3. it/43GO 44° "e1g07
ADDRESS ZIP Actual Set Backs in Feet 3 0 0 0
LO ,30t0 G'1raarzbVaci iccu ctL zNorth (South East
CONTRACTOR PHONE Size of Parcel Zone Classification(west 0 4—0 1 —8 1
a. a0r.0 6r4c- Are.ii. d344,,�4- '97.7t4-3y23 6 4 7 9,
ADDR ZIP Type Const. Occupancy Sprinklered
3 G, est.- IZ/G ❑Yes ❑No El 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
NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF El OTHER
WORK ❑ BLD. PLMB. CIMECH. CIM.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK F)4-rls Enum. Dist. I Location (Area) '
$ - FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public D 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 regula ' nstruction or the A`
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing _ �
DATE OF APPLICATION 07//(/ SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health , 11.0
BAP ed SEPA
Planning t Gt/ J
-
Fire Marshall t 61I"
Mobile Home 1,J
Cr-
Co. Engineer 1114 drt Other (Specify)
! wi
Utilities ��
TOTAL $ �"
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 IV,041 7'8 1 3 0.0;1.Z **2 9 0 0 a
9//77 e PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL