1981, 02-02 Permit: 81A-1065 Plumbing Fixtures 'PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT P SIA- - J or
. rV / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 ,
et APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Jo ADDRE s LEGAL DESCRIPTION - SEE ATTACHED 0 5 * * 5 7.0
* 57. 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 57006
OWNER � PHONE
3. AMeiplG-"K - I✓IIN(( 2-6-23 �- A * 000
ADDRESS r y� i lP Actual Set Backs in Feet 1 0 6.4 g
-c--713
• I ., � r6 �16L/L/ 99-2.47.z. North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 2-0 2-8
0- IL-t_ )'`i 1. 1 d 61 3>e3 "2-
4'
ADDRESS I ZIP Type Const. Occupancy Sprinklered 6 4 7 9.
rie77 �—. • T ‘)V\c `,,7L'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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ LT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 46 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
$ 17-2
„p P�� i 1.161 M>c�L K, FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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 57
performance of construction.SEE REVERSEISIDE FOR REQUIRED INSPECTIONS ,moi Plumbing
DATE OF APPLICATION i– -- / SIGNATURE OF APPLICANT (/''' 9`'' �� Mech.
1 dL,= `
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
' Q�/g SEPA >'
Planning 1�`v _ a.
J Q
w
Mobile Home
Fire Marshall '
w.
Co. Engineer � �
Other (Specify)
t kl iNl
Utilities VAI f
!` 'til1 TOTAL $ 57
Plans Examiner V /�, �,
I I• i' ' AI�V WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 1 VV f 1 pk , THIS BECOMES A PERMIT.
Bui •'•• Tec ' ' n vv ' PERMIT IS NONTRANSFERABLE X0'2 0'.2-1 11 1 0 6.5 5 *5'7,0 0 a F
C✓� — ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL