HomeMy WebLinkAbout1981, 02-03 Permit P81A-1117 Replace Piping, TrapsAPPLICATION/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
E. '7314 1'f
LOT BLOCK SUBDIVISION
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OWNER 3, £ 1EP.i'LOINL. ALLEN
ADDRESS
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CONTRACTOR
Non- 1t1Ef.'i
ADDRESS
RC-CON:SI e..LALli a iti
DESIGNER
ADDRESS
CHANGE OF USE FROM
6
TYPE
7. OF
WORK
9.
❑ NEW
❑ BLD.
DESCRIBE WORK
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TO
❑ ALT. ❑ AD'N.
IM'PLMB. ❑ MECH.
LYJ RPL.
❑ M.H.
PHONE
ZIP
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PHONE
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ZIP
(<--17n-7
PHONE
ZIP
❑ MVE.
❑ POOL
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
❑ OTHER
SEWER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
Upper Floors
Area of Decks
Zone Classification
Sprinklered
DYes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement Unfln. Basement
No. Baths f No. Stories No. Rooms lNo. of Dwellings
CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
Enum. Dist. 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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technjrjan
SIGNATURE OF APPLICANT --tom
SPECIAL CONDITIONS:
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SINK
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PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing '1f2cJ
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
A-111�
06* *25.0.0
*25.00 5
*25.006
A *0,00 8
111.62
02-03-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
013-8;1�
DATE ISSUED
1'11.7' Z *25,0.0a
PERMIT NO. TOTAL
>-
0
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