HomeMy WebLinkAbout1981, 02-10 Permit: 81A-1330 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
CONTRACTVR
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
Type Const.
Occupancy
LEGAL DESCRIPTION — SEE ATTACHED
1. E. Il'oib
LOT
BLOCK
UBDIVI ON
Valuation
PARCEL NUMBER/S
2.
I
5' ADDRESS
OV.bigRy
Main Floor I Upper
PHONE
3
Storage
ADDRESS
CHANGE OF USE FROM
Z
Actual Set Backs in Feet
I Finished Basement
I Unfin. Basement
6.
North South East West
CONTRACTVR
PHONE
Size of Parcel
Zone Classification
4' ADDRESS
ZI
Type Const.
Occupancy
Sprinklered
IQ116 S�) M
❑Yes ❑No ❑ Req'd.
—L
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor I Upper
Floors
Garage AreT
Storage
CHANGE OF USE FROM
TO
Area of Decks
I Finished Basement
I Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORKI
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. lulILOF
I
IITIES
Public ElPrivate ❑
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Q
DATE OF APPLICATION � ) n _ S7 � SIGNATURE OF APPLICANT � � �''�
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
� � � 1
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
Plans Examiner
SEPA Checklist
Idi g Technician
[IYLt i Tl }�L
I 7 LCL C7
Ui Ta -
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
PERMIT NUMBER
03* *53.00
*!-
J.C,j U)
*53,00
A0 * ,
C. (� u
1329-'
02-10-81
6.479.
TOTAL $ 6Oo("
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02-10-81 133.062
DATE ISSUED PERMIT NO.
*51008
TOTAL