1981, 03-11 Permit: P81A-2299 Plumbing Fixtures(PLAN NUMBER
L
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
F"' ) NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
"PLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 14714 - 17th
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
3
OWNER
R & R Construction (Dick Reeves)
ADDRP.O. Box 14217, Spokane, Wash.
PHONE
928-3610
ZI P
99214
Actual Set Backs in Feet
North 'South East (West
4.
CONTRACTOR
Miller's Plumbing
PHONE
483-2025
Size of Parcel Zone Classification
ADDRESS. 623 Liberty, Spokane, Wash.
2199207
Type Const.
Occupancy Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
IX NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
s. Plumbing
VALUATION
9.
installation - New - SFR
Enum. Dist. I Location (Area)
SOURCE GAS ELECTRIC
OF
UTILITIES
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
03-10-81 SIGNATURE OF APPLICANT �'�' - s1
DATE OF APPLICATION._. ,_a'�-( 2,'`�-�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing T -chnician
14 Fixtures @ $4.00 ea. + $5.00 Permit Fee = $61.00
1) Kitchen sink, 1) Dishwasher, 2) Basins, 1) Tub,
1) Shower, 3) Toilets, 1) Laundry, 1) Laundry tray,
1) Water heater, 1) Floor drain, 1) Area drain.
PERMIT IS NONTRANSFERABLE
vEHMi t EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
TOTAL
56.00
5.00
$ 61.00
f)
PERMIT NUMBER
03* *61,00
*61/00
*61,006
A *0.00
229.8
03-11-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
031111-S1`
DATE ISSUED
229,95 *61.000
PERMIT NO. TOTAL