1981, 08-18 Permit: P81A-8235 Plumbing FixturesFLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
JODDRESS
1r,
B�0 & 77 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNERc PHONE
3. �' 1w f3esf-1d , zk- l
ADDRESS �n� ZIP Actual Set Backs in Feet
SS! •'' `` North South East West
CONTRACTOR P, ONE Size of Parcel Zone Classification
4' ADD/RESS ZIP Type Const. Occupancy Sprinklered
( &Q t 24) 1 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 I Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW LT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF❑OTHER
WORK ❑ BLD, yQ PLMB. ❑ MECH. ❑ M.H. ❑POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8 FEES COLLECTED
�r� �1
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
9. 1UTILLITIES OF Public ❑Private ❑ Single $
1 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 �� (20performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health I — �(/j
SEPA
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
nician
' e
- -)V,
1 - UA �-e eaI-ey
�ac- - % 011
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify) S,00
TOTAL $ .�` �/ -U V
i, IPERMIT NUMBER
SI*t- 52,3s
U3* *29.00
*29,00
*29,001
A *0.00
823.42
08-18-81
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES.A PERMIT.
I � '• 1
O'8�!18t-81'1' 82°3-52
DATE ISSUED PERMIT NO.
2
2 9,0 0 tot -�j -
TOTAL
i
T