1987, 06-09 Permit: 87001757 SprinklerPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER ---]
SPOKANE COUNTY - BUILDING CODES DEPARTMENT i 7s'
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES— P,' -; HARD TO MAKE 3 COPIES
JOB ADDRESS v LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUB VISION PARCEL NUMBER/S
2. 20 IuYA- V l
OWNER PHONE
3. \(\ 9ZZ_241L3
ADDRESS ZIP Actual Set Backs in Feet
L - ` - J.1,� 7 t -4t' North South East West
CONTRACT R ` PHONE Size of Parcel Zone Classification
4' ADDRESS 7j ZIP Type Const. Occupancy Sprinklered
/" It" /)1 Q 17GZ-o i ❑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 ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑ Private ElSingle $
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 Building
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 Plumbing
DATE OF APPLICATION (0—� SIGNATURE OF APPLICANT ��. Mech.
SPECIAL APPROVALS SPECIAL CON
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Building Technician PERMIT IS NONTRANSFERABLE
PCRMIT CYPIRFQ nrlg= VFAR FIRMA nATF r1F IQQIIAN('F
Plan Check
SEPA >
C
L
Mobile Home J
Other (Specify) 5,
GJi
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r)ATC ICQI II=n In -A I