1981, 09-14 Permit: 81A-9331 Plumbing Fixtures XLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
'I - SPOKANE COUNTY — BUILDING CODES DEPARTMENT
ejNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS } LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION 1 PARCEL NUMBER/S
2. -2''' I LOt s rri od
PHONE rr� II�
OWN � � * * EV: � ll
`/ KI O 1) '[' i I5 9'26'4?-3 la 3. ADDRESS Actual Set Backs in Feet * 6 5 1.. 0 u~�,
134. j>, C4-9 O2 57)-I4North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification * 6 5, 0 0
i v PLLiM 15+14 GI - 2-19-6ADgR * O. c
4. Z Type Const. Occupancy Sprinklered
//E__5S
V .� ❑Yes No 0 Req'd. 9 3 3{}
DESIGNER PHONE Valuation Building Area in Sq. Ft.
iiC'-- + 4_R
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 4 7 Y -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement io
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF � ,// ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. LZYPLMB. 0 MECH. 0 M.H. 0 POOL
of EXEMPTION
DESCV,Ir Og� Enum.Dist. ILocation (Area) FEES COLLECTED
8.
VALUATION SOURCE GAS ELECTRIC 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 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 /'(,/,
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS— Plumbing �F-�%
DATE OF APPLICATION ✓ / SIGNATURE OF APPLICANT -{-frzdC� `" Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE I�,i� �y� p� Ki Plan Check
Env. Health Ck Ir�l.� I I if ! �/(' 'V
v.6" SEPA - 2
ID
Planning
sttr - _ cw
w
Fire Marshall t Mobile Home 11
"_
` 0 Other (Specify/
Co. Engineer 1' , i '
Utilities h- Ir-.I� TOTAL $ �n 2
Plans Examiner � i NNNVV
I (/ i WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist } l j�q� CSI �' THIS BECOMES A PERMIT.
L '� v _ I'
ing chni 'an r PERMIT IS NONTRANSFERABLE Q'g+—J:41"'8 1' 93''3:1 Z * 6.50 0 a� -
f % "�`P, I P HMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1