1981, 04-20 Permit: 81A-3726 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 82M 37,26
I/ ‘LJ..{,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADD Ess �S14 LEGAL DESCRIPTION — SEE ATTACHED
1.
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ^
C --
2.
3 ADDR E[S� lJ ZIP Actual Set Backs in Feet * 0.0 0 7
L7
Ci �O /� North (South East (West
C RAC O PHONE Size of Parcel Zone Classification 7 2 5 ,-_„
4' AD ESS ZI�/N���-5(a0� Type Const. Occupancy Sprinklered r+ Li_ C 0—8 1
/`3 a / �^-V
Oyes ❑No ❑ Req'd. (S, 4 7 9,
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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF „,,,,,__,,/////'' I=1OTHER -
WORK ❑ BLD. LPLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
// of EXEMPTION
'?e ,DESCRIBE WORK Enum.Dist. I Location (Area) ' FEES COLLECTED
8. \ r 1%'4-+Vee.7 I
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 reg .ting construction or the 3 5-2-
performance of construction.SE REVERS SIDE FOR REQUIRED INSPECTI1S Plumbing
7ui
rSIGNATURE OF APPLICANT �� I / e - Mech.
DATE OF APPLICATION
SPECIAL APPROVALS SPECT L CONDITIONS:
NAME DATE ///� �y Plan Check
Env. Health 3 — R —e w / _
Planning 3 Lis / A/11 SEPA aa.
U
Fire Marshall i -r�(_ Mobile Home J
I 1Q ii
Co. Engineer s t ,t Other(Specify) 5_
Utilities 5 �V/
/ ("` • TOTAL $ 1
570
Plans Examiner
V%JYIk WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / THIS BECOMES A PERMIT.
Bu ng T nician PERMIT IS NONTRANSFERABLE .04r-, 2'0.7
di11 372;15 *5700d F
-e- ,"� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE "DATE ISSUED PERMIT NO. TOTAL