HomeMy WebLinkAbout1981, 05-27 Permit: 81A-5133 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT PER BER.
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �J
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT I BLOZ51
2
OWNER
i
3.
ADDRESS
f 38 30
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
) 7 3 TZ� LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S ; ; C el 7 "Y -T-,-44
PHONE
P t' 35` G �c.�%zv'tlir,
ZIP Actual Set Backs in Feet
9i 2-i North South East West
CONTRACTOR r/
PHONE
Size of Parcel
Zone Classification
L
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I TH
❑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.
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. IKPLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORKI
Enum. Dist. Location (Area)
FEES COLLECTED
8 s t,
VALUATION
SOURCE
GAS
ELECTRIC
WAT R
SEWER
Ownership USE CODE
9.
UTILOITIES
I
I
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
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 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui gchnV n f
..
/• �ti SclJ1G
0)1 W
I' i v 6
t4 -U L-
'1- L A-vrt,p�Y
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
07* *65.00
*6500
*65.00
A *000
1 3, 2
05=27-81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i `8. 513: 3'Z
DATE ISSSUD PERMIT NO.
*65,00°.
TOTAL