HomeMy WebLinkAbout1981, 09-09 Permit: 81A-9061 Plumbing FixturesPLAN NUMi3ER
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
LO
BLOCK
3
OWNE
Cv
SUBDIVISION
ADDRESS
/O is
f3/AITRACTOR
Ver r.
ADDRESS
' JP
Ply
P/0,,0/77_
ZIP
PH9'JE
ZIPS
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const,
Occupancy
East
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floor
Upper Floors
TYPE
7. OF
WORK
iVEW 0 ALT. ❑ AD'N. 0 RPL.
0 BLD. PLMB. 0 MECH. 0 M.H.
❑ MVE.
O POOL
0 OTHER
Area of Decks
No. Baths
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement Unfin_ Basement
No. Stories
No. Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
r— r CLI–c-
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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
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 reula, ing construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION��
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
I- 5kowcr-
3��a,IJ
AtS:woV
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBeR
SOCA 'C:ItC--Cal
03* *57.00
* 57.00
* 57.006
A *0.00 g
90608
)9-09-81
z 6.479.
•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
`09-09. 81
DATE ISSUED
906.12
*57,002g
PERMIT NO. TOTAL