1981, 09-14 Permit: 81A-9329 Plumbing Fixtures (PLAN NUMB-R APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT f
5cA- -g2g
EJ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
c 7 �, r,
* ± v
1 JOB AI REIs'2 ' 1 5 LEGAL DESCRIPTION — SEE ATTACHED
;)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 2— — 1-toA.kI-7R' e -r f 1 * 700
3. OwE13 ,, I ,� I \��'y �J
▪HJ• f'w�
at31 ,i * V, l.'� !j .-
ADD ESS (�� Actual Set Backs in Feet -,z.:2 a
2 5.17.2-.14..... North South East West
CO RAA TOR, rldI vsI PHONE Size of Parcel Zone Classification 0 ` — 4 — ;
l Com/ 7UI 6✓CJ ' 76
n n
4'
ADDRESS p I Type Const. Occupancy Sprinklered �`4 t
c1 • 167 �( 5 ,9 4- Oyes ❑No 0 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. LLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBEiWO K Enum. Dist. I Location (Area) T
$ r 1 Y-r ‹c .,�1 FEES COLLECTED
VALUATION SOURCE GA 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 5 "7
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / Plumbing
Y / r >f1 Mech.
DATE OF APPLICATION / V—,4- SIGNATURE OF APPLICANT iy gv-.«�' (4 /Ti�`u
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 1ki� 441:
IJ� Plan Check
Wl.Env. Health ✓ / �
SEPA >-
Planning f a.
C)
Fire Marshall k 514-C1Vim•- Mobile Home w
a
ii
Co. Engineer II JrI� Other(Specify)
Utilities t 1,01/4(..1N1101,01/4(..1N110I 'V�Y I kyr, 13 7 •
at * 1 „ TOTAL $
Plans ExaminerICK
SEPA Checklist .lriv` g.-° WHEN MACHINE THIS B COM S A PERM IVALIDAT. IN THIS SPACE,
Building Tecciatnr� ,� PERMIT IS NONTRANSFERABLE Q'�9 —'i� ''81+ 9 3'2 9 °z *5 7 0 0 a IJ-
f��•�~/� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL