1981, 05-06 Permit: 81A-4394 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 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK IbUBUIVISIUIIJ PARCEL N MBER/5
OWN R ` PHONE
3. Yt /li
ADDRESS Z Actual Set Backs in Feet
7 �/ c7`C� Try North South East West
CO CRe PHONE ,;1,7 Size of Parcel Zone Classification
c� ��`-/7
4' AD Z�I �� r)� Type Const. Occupancy Sprinklered
- A; _ _� s ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors I 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
WORK 1:1 BLD. /UQ_ PLMB. ElMECH. ❑ M. H. ❑POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DES RIBE WORK Enum. Dist. I Location (Area)
FEES COLLECTED
8.- i L/
VALU ION SOURCE GAS ELECTRIC OF WATER SEWER Ownership USE CODE
9. UTILITIES Public ❑Private ❑ I Single $
1 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 w regulating construction or the Q(J
performance of construction. §EE REVERSE SIDE FOR REQUIRED INSPECTS PI mbing �r
DATE OF APPLICATION O SIGNATURE OF APPLIC ech.
SPECIAL APPROVALS
NAME DATE
ning
Marsha
gineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
uiid e nVcian , PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
0 A - 4�—,q 4:: 1
-
03* *1800
*1500
*180061
A *0,00 U
439.3
05-66-81
6479.
Other (Specify)
d�
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05446`6='81 a 439,4,2
DATE ISSUED PERMIT NO.
*1&002 —
TOTAL
uiid e nVcian , PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
0 A - 4�—,q 4:: 1
-
03* *1800
*1500
*180061
A *0,00 U
439.3
05-66-81
6479.
Other (Specify)
d�
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05446`6='81 a 439,4,2
DATE ISSUED PERMIT NO.
*1&002 —
TOTAL