1981, 06-11 Permit: 81A-5824 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT
^ PERMIT NUMBER
0 SPOKANE COUNTY — BUILDING CODES DEPARTMENT /J 1 51 1 -582-4-
,
W NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
r.
* * 6
1. .c' ,? /S-i LEGAL DESCRIPTION — SEE ATTACHED v
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * _i - C` ._.
OWNER , PHONE
3. A As 4-at /C o f //WA/--/A17 `lam 576
P. r
ADQRESS ZIP Required Set Backs in Feet :, F
S /3 da-"Apt,,r A l y7, `e North 'SouthEast (West 1
CONTR CTOR Sn PHONE � Size of Parcel Zone Classification 0 U" I I i`I
4' /Sl,� c746-1../k",&.5
` Q f f�� r
ZIP �! Type Const. Occupancy Sprinklered 6 4 .
ADDRESS
/(J / S. al 3!"�7 av ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
-,� No. Baths No. Floors No. Rooms Rec. Room
TYPE I(dNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF _,_,� ❑ OTHER
WORK ElBLD. I(d"PLMB. I=1MECH: ❑ M.H, ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ,
8. /'fes r ' / --i /d y,xA.,..er. .
.! FEES COLLECTED
VALUATION -��-t Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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 loot,law regulating construction or the - �,5^,pp
performance of construction. loot,
//� Plumbing
DATE �— /1 ,/ SIGNATURE y z''��1""" 144'411/
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health 1-;.1�h
1 LAYS SEPA ec
Planning ,,� L)
S ii�✓is — U
LU
`` Mobile Home CC')
Fire Marshall
/-�✓ 4 -,--.
Co. Engineer f- /6- r k r'n 5-/AiK Other(Specify)
/ r
Utilities / ' '`7' S 1-4'•"0"7"
2'74,4,t ha'sttrc TOTAL $ 45`0c'
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist `` �(\J�/�'//['/ THIS liECO�IVIf$IL�PERMIT.1
DATE (l OFFICIAIC/ I/ 90"--> 0 r 6 ill 178'1 ,
8 1 5 8 2 4'2 * 4 5,0 0.R.1-4
APPROVED FOR ISSUANCE