1981, 03-12 Permit: 81A-2350 Lawn Sprinkler PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
T..)
SPOKANE COUNTY — BUILDING CODES DEPARTMENT iA 'z3S0
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
C3 * * 9, C0
JOB ADDRESS
1. E . iLU4 b4 2.41A LEGAL DESCRIPTION — SEE ATTACHED * 0
c
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 900
OWNER/^� PHONE
3. C. (%W4 L U'►411E`/ . 1:-1400. 1:-14001._41�i5 t 3S(' 122-6,1W A * 0 L u
ADDRESS ZIP Actual Set Backs in Feet 2 3[I 9 z
E . IQ41*aC4.. 24'14 iqq LIL North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 J- 1 2-8 1
4. 1\1ELScr.) L�iivUL1t1'PL 5Etta)cE 4666-6,C -u 6 G 7 9.
ADDRESS �+ 't r' ZIP Q, Type Const. Occupancy Sprinklered
IV< 11.001 1`I✓tA+'`'oQT C�1A.l # 014-L1U Dyes ❑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 �y( No.Baths No. Stories No. Rooms No. of Dwellings
�1 NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF ,( ❑ OTHER
WORK 0 BLD. IYJ PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) T
FEES COLLECTED
8. Own) 6'2 01CLE12 I
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 *q 60
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
r
DATE OF APPLICATION-5 SIGNATURE OF APPLICA - �.��4 i �dir—a0 r Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
a
Planning o
U
Fire Marshall Mobile Home 'i
w
Co. Engineer Other(Specify)
Utilities
TOTAL $ eC
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ''din Techniciiaann PERMIT IS NONTRANSFERABLE 0!31;-'}''2'-'8 1. ' 2'3 5`0 Z * 9,Q 0 d PI
i J T PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL