1981, 10-15 Permit: 81B-696 Plumbing FixturesPLA" NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGtON 99260 / (509) 456-3675
CO ACTOR
U APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1
Type Const.
Occupancy
Sprinklered
LOT
BLOCK
❑Yes ❑No ❑ Req'd.
PARCEL NUMBER/S
2.
Building Area in Sq. Ft.
I
ISUBDIVISION
OWNER
ZIP
P ONE
3.
Garage Area
-
a ..J 9f%
ADDRESS
CHANGE OF USE FROM
ZIP n
C
Actual Set Backs in Feet
Finished Basement
Unfin. Baseme
6.
North South East West
CO ACTOR
PH NE,
Size of Parcel
Zone Classification
.�
4' DRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑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. Baseme
6.
TYPENo.
Baths
No. Stories
No. Rooms
No. of Dwel
�-P1EW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
El BLD. O-PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
DESCRIBE WORK - /
Enum. Dist. I Location (Area)
FEES COLLECTED
$. /
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
Public ❑ Private ❑
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 re ati onstruction or he
/
performance of construction. SEE EVERSE SIDE FOR REQUIRED INSPECTION
Plumbing
r
DATE OF APPLICATION SIGNATURE OF APPLICANT ,,��7 '
Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
—0Plan
/
3� ��e
Check
Env. Health
`,",jL!/Vj
SEPA
Planning
2
Fire Marshall
Mobile Home
Co. Engineer
> /%I )�
Other (Specify)
gs
PPERMIT NUMBER
03* *61..00
*61.00
*61.00
A *0.00
69. 5707
10-15-81
6.479,
Utilities 'f%`5k&7�jkee
TOTAL $
Plans Examiner '� ��s�-e)5-1
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 1 ���! ��� THIS BECOMES A PERMIT.
ng Technician PERMIT IS NONTRANSFERABLE 1—' d 0..1,
1� .'�69,6 Z *6 10,0101
'S8'1
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL �I