1981, 12-22 Permit: 81B-2945 Plumbing Fixtures PLAN NUMBEIR APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �i ' -z� 5
,}, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
�/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
3 * * 29, 00
JOB ADDRESS
1. £ 1 c(,;2.0 )LL1- LEGAL DESCRIPTION - SEE ATTACHED , y_ 0 C G,:
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 2900
2.
OWNER j� PHONE A. * 0 0 0
3. Lek `�i�r
ADDRESS ZIP Actual Set Backs in Feet G 9 a: 4 z:
I jnG,Zo I L/ - North 1South East (west i 2'-r 2-R 1
C NTRACTOR PHONE Size of Parcel Zone Classification
4. pc in c PLu NI Ed 0 G C'a �' 6,4 7 9
ADDRESS /ZIP Type Const. Occupancy Sprinklered
17)..o 5. -P/t?e S �'/�.Z.UG ❑Yes ❑No D 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
YJ NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
7 ❑ OTHER
WORK 0 BLD. ®-PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE RIBE WORK Enum. Dist. I Location (Area)
8. Y 1o in ID(r19 G r 1X 1� 4,s FEES COLLECTED
�j I
VALUATION SO RCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public CI Private ❑
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 co
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS .�' Plumbing 2 I'Dt'
DATE OF APPLICATION /�r - O 0 SIGNATURE OF APPLICANIG/ A Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health W` C. .
,
/ SEPA
Planning "" ` %j
Fire Marshall
1 ./ Aso,/ Mobile Home
Co. Engineer ' Xi I "IL Other (Specify)
Utilities ' TU8 . .5/-tocuel...— TOTAL $ „goo
Plans Examiner 1 PU i O — W'q'S►`ti2
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
t { S
Building Technician PERMIT IS NONTRANSFERABLE l'2 ,2 2.`
-8'f 2'9A5 Z *2 9.0 0 2 F,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL