1981, 08-07 Permit: P81A-788 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS�{
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LEGAL DESCRIPTION —SEE ATTACHED
LOT
I BLOCK
ISUBDI;JS,.10N��
Hca <
PARCEL NUMBER/S
2. -Z
C�
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OWNER-,
n
'
C-1
PHONE
y
ADDRES I
fJ
P
j
Actual Set Backs in Feet
' 0 ��G%
j�t�
North South East
West
CONT`RACTQR�
PHONE
Size of Parcel
Zone Classification
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
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.
TYPE
ANEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. CPLMB. ElMECH. ElM.H. 1-1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESGRIB WpRK
i�f A
Enum. Dist. Location (Area)
FEES COLLECTED
8
�
I KL
VALUATION
SOURCE
AS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILITIES
Public ❑ 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
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
-10214S
,
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT
Plumbing
DATE OF APPLICATION V 1 -7/ 22 RlrNATI IRF nF APPI IrAnIT
i�.,n�
.Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
eer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
-fj Plan Check
G SEPA
Mobile Home
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
PERMIT NUMBER
U3* *17.00
* 1 7.00
* 1 7,00
A *0.00
788,.0
08-07-81
6479,
TOTAL $ 1-7,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
A
"7- 8'`l 7 88.1 z
DATE ISSUED PERMIT NO.
*17,00x0 -
TOTAL