1981, 01-23 Permit: 81A-782 Plumbing Fixtures [PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 3 * * 44)'00
1 7/ 1 A5� _ LEGAL DESCRIPTION — SEE ATTACHED * 4 9.0 0 ro
OT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 49,00
OWNER PHONE A * 0 0 0 S
3. .a -04.44,-ter- .6- .-T-4--6:5,-- 6 -
aDRESS ZIP Actual Set Backs in Feet 7 8. 1 2
,,4h -66-f,,ytztt4� gq,,�D l*, North (South East 'West 0 1 —2 3—8 1
C NT ACEI ORi PHONE Size of Parcel Zone Classification
4. -Vi64 X'if.4,ti✓� � 73-2/g2 g 6.4 7 9
ADDRESS . ZIPType Const. Occupancy Sprinklered
/(f//3 i, C,. --fi( 'R.41,.d�s 99..2-4/ ❑Yes ❑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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK Cl BLD. K PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
D SCRIBE WORK Enum. Dist. I Location (Area)
8 L � '/F�� /7
jJV��iJ 1 FEES COLLECTED
V UATION SOURCE GAS ECTRIC ATER SEWER Ownership USE CODE
OF
9. --~ UTILITIES Public ❑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 constructio or the #ilq !U
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS/7 Plumbing
DATE OF APPLICATION -2--2--e/ SIGNATURE OF APPLICANT . ✓ - , • ' 41' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health 3-T [x/-) /.._&.„6
,r� /'�6 ,. / iv// SEPA >-
Planning {,.. // 5 O
J 7 J f S ld / — c�
Fire Marshall /r-. re 6 Mobile Home
Li
Co. Engineer 1- 54..✓64. Other (Specify)
Utilities �/� /9G
TOTAL $ ^7 ��
Plans Examiner l: i �
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist [1 -. '' THIS BECOMES A PERMIT.
Bu ing/JTech ician PERMIT IS NONTRANSFERABLE ''0 IT '2;31'_,11' 7 8.2 z * 419.0 0 a H
�1� f ��� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 3 PERMIT NO. TOTAL