1981, 08-31 Permit: 81A-8724 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT ,p PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
' ' NORTH 811 JEFFERSON / SPOKAN.q, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 JOB ADDRESS j/ ;Z,/ ? 1 � � � �� LEGAL DESCRIPTION — SEE ATTACHED
LOT _BLOCKISUBDTV—ISION PARCEL NUMBER/S
2.
OWNER PHONE
3. I^ r0 f
ADDRESSZ P Actual Set Backs in Feet
`
A,9y 1x'32 3 5ai3 North South East West
CONTRACTOR , PHONE Size of Parcel Zone Classification
4' ADDRESS / ZIP ��++ Type Const. Occupancy Sprinklered
�� QiQfill`
",7 '7' '7' `, ❑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 I Unfin. Basement
6 No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ALT. 1:1 AD'N. El RPL. El MVE.
7, OF �/ ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK BLD. Ld PLMB. El MECH. El M.H. POOL
` of EXEMPTION
DESCRIBE WORK // Enum. Dist. Location (Area) FEES COLLECTED
8. m 4,4e �r / pKem i/; 1 �) ; F
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public 11 Private ❑
,,jQ, UTILITIES 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION Z SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
a— K�(,�rJS
i'o�u
1
j11^�
I — e - J -e C. H(W -�/
PERMIT IS NONTRANSFERABLE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui ingcian
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
03* *61.00
*61.00
*61,00
A *0,00
872.3
08-31-81
2 6.479,
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1081. i't8.1` 87Z4z
DATE ISSUED PERMIT NO.
* 6 10 0 0 -
TOTAL