1981, 11-16 Permit: 81B-1823 Plumbing Fixtures (PLAN NUMBER . APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT / e:3( _ (62..3
e./
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
mw
JOB ADDRESS
if LEGAL DESCRIPTION - SEE ATTACHED 0 3 * * 6 9,0 0
1 LOT BLOCK SUBDI ISION PARCEL NUMBER/S * 6 9, 0 0
2.
OWNER A .......--• PHONE * 6 9, O 0 8
3. AAlL 1 t-'t 4 -e31a A - * 0,00
A ESS / ZIP Actual Set Backs in Feet
. e, 6/0 S( (J'/yz,,g 99 North 'South East Iwest 1 8 2 2
C ACTOR PHONE Size of Parcel Zone Classification 1 1 - 1'b-8 1
Ve-rc,,-/ Pw >,�►
4. .)
DRESS ZI10 Type Const. Occupancy Sprinklered 6 4 7 9,
D i -tel t y ,a/i 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 Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
Jel-NEW D ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. A PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE - Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK l �e �. x�`t-t� * Enum. Dist. Location (Area) '
8. FEES COLLECTED
VALUATION SOURCE !/GCAAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 regul. ing construction or the ,•4e'27e)
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing
DATE OF APPLICATION 11/7 / 59/ SIGNATURE OF APPLICANT . �' f daMech.
SPECIAL APPROVALS SPECIAL CONDITIONS: i
NAME DATE /1 /-- idQ -r Plan Check
•
Env. Health
— 64,0,:ee...e SEPA a_
Planning cD
Fire Marshall r ��irL,//V5 Mobile Home
Ifr
Co. Engineer Other (Specify)
Utilities
/ , 121612,u •1tcor--)
TOTAL $ 4e510
Plans Examiner
PiSC0
SEPA Checklist v WHEN MACHINE VALIDATED IN THIS SPACE,
�7 Ira-,,J THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 11. ' 168 `11. 1 8 23 Z * 6 9.0 0 RI-2
- i-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL