1981, 02-19 Permit: 81A-1647 Sink PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
•
SPOKANE COUNTY — BUILDING CODES DEPARTMENT P 471 - t 40
eoll
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 /O70Q c - — � SC
0 LEGAL DERIPYION — SEE ATTACHED 0 3 * * 9,0 0
LOT BLOCK UBDIVISION / PARCEL NUMBER/S1.-* C Q Q
in
2. \
OWN lcts 6
3. LJi,Je. �ef1/) ej '/ ,f (1/411-/ s _ A * 900
ADDRESS 'te �C � Actual Set Backs in Feet
I�� � r� � G%1 North (South East (West 1 6 U 6 t
CONTR• T R PHONE ,, '? Size of Parcel Zone Classification
a. %,' , .� G,c ..,_,/ .Sj'9—x/ 76 02- 1 9-81
A b D_ ') Z Type Const. Occupancy Sprinklered 6 4 7 9,
7( 7 r ❑Yes ❑No ❑ Req'd. Z
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 �y No. Baths No. Stories No. Rooms No. of Dwellings
rLVy_NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK CIBLD. 'PLMB. CIMECH. ❑ M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIB WORK Enum.Dist. I Location (Area) r
8. 2#.0,02 014 '6--/.
i•� I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF 9. UTILITIES Public D 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 ^ 0
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the tom/
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTreNS Plumbing
F
DATE OF APPLICATION //3 SIGNATURE OF APPLICA-d .ci7.at i�_,_.‘ , ',i 'e Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a-
Planning Q
Mobile Home LLQ
Fire Marshall -I
ti
Co. Engineer Other (Specify) _ �}
Utilities ✓/ ®`'
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
c.....,B44.1qg Tec can PERMIT IS NONTRANSFERABLE 0 217 11.9'78 1; 1 6 tt 7 Z *9,0 0 °a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL