1981, 04-17 Permit: 81A-3724 Plumbing Fixtures!'.'--AN NUMBER APPLICATION /PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO POP"IAKE 3 COPIES
JOB ADDRESS
1 - S j J LEGAL DESCRIPTION — SEE ATTACHED
LO LO OCK SUBDIVISION PARCEL NUMBER /S
2.
OWNS .� P ONE
3. 11• r L
ADDR
ZIP
Actual Set Backs in Feet
Mobile Home
Other (Specify)
TOTAL $ S7��
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'14 2 %�a,,, -8 ��. 3 % �; �'z
DATE ISSUED PERMIT NO.
Co. Engineer
o'rl
Plans Examiner
North South
East
West
O TRA TO
PHONE
Size of Parcel
Zone Classification
4. 1
ZI
Type Const-
Occupancy
Sprinklered
4ADESS
❑Yes ❑No ❑ Req'd.
NER
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
17.
TYPE
ALT_ ❑ AD "N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms No. of Dwellings
2"W
], OF ❑ OTHER
WORK ❑ BLD. MB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd- .Not
Rep'd.
/ `
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
$ 3 1�
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER SEWER
Ownership
USE CODE
9.
UTILOITIES
I
Public El 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
type of work will be complied with whether specified herein or not, The granting of a permit does not presume
Building
to give authority to violate or c ncel the provisions of any other state or local I re ul ting construction or the
r3
performance of construction. SE REVS E SIDE FOR REQUIRED INSPECTI N
Plumbing
DATE OF APPLICATION f SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPE IAL CONDITIONS.
NAME DATE
Env. Health -
-/ I� f Y�
� � I �1 C� /J
Plan Check
Planning
,
fL Y�-�
SEPA
/! 1PERMIT NUMBER
g i •A -3-7z,�-
*5 00
vT
*v/7 C, 0
J�C.uc
04- 20 -8,i
c 6479.
Fire Marshall
/
1-
I
! (y
ii�'itl
tr�f / ?t /1
t'T 1� /
l/ _-/!
jfiWC W to
PERMIT 1S NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $ S7��
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'14 2 %�a,,, -8 ��. 3 % �; �'z
DATE ISSUED PERMIT NO.
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
�jVilcling Technician
e'
*5Z00d-�J_
TOTAL
r
CJ
U
w
J
:.L
ADDRESS PERMIT NO. I
SPOKANE COUNTY
BUILDING CODES DEPARTMENT
CORRECTION NOTICE
This work does not conform to the requirements of the Building, Plumbing and
Mechanical Codes in the following:
104
' ✓it_- f'•s'.?��"^tk �'f- '!ter( °��f'��e?�I c�
y .••lrr. �7� -"t•� �`'�s...y�t'FT"rt !'rf� f .�..%r �rf -'�, �'.
T;
DATE:
For further information call Inspector ✓ %r-
at 456 -3675 between the hours of 3:00 PM and
4 :00 PM weekdays •
PLAN NUMBER APPLICATION/ PERMIT
' SPOKANE COUNTY — BUILDING CODES DEPARTMENT
• NOATN 911 JEFFEAHON/ SPOKANE, wAFRIN[.TON I... /la..) 55 ]fll5
APPLICANT: COMPLETE NUMREREUSPACES- PRF.9S Ir. III, h-I IVIAKE'I LLIp11C3:
BA s LEGAL DESCRIPTION - SEE ATTACHED
�� PANCEL ntdMEl:RI5
01. BNe
3.
AO P Nnrtne1 se+e F.et Can
C eor PUreei ne curslllullon•
T
4' A ESS ZNB _5 xne con•l auQeary
❑yel anon ro q.a..
o aNeR R prcE rnalnn nano Ana m sa. sl.
6' AOBrcFa LIP •ln F+oa< Upper Fle.ra .ra.. qr Slora.e
c"I OF UBE FROM TO Area of BrtN. Flnl.h.tl....m.nl - Unnn. B.vmm.
Np. ealaP Np. Sl.ne. o. R..mr Mo. of Bwet
TYRE - W ❑ ALT. ❑ AO'N. 0 RPL. R MV'
T, GF_ D BLC. )Ill ❑ Mec N. ❑ M.N. ❑ ROOL OTHER CERTIFICATE Re. 9. • n. el R•v .P
FEESOOLL£CTEP
-
ElnHle
S
I e P Tkn aI s pco "'
Md% nd LB It. 11- nd All
I -
"
nu dt
typ. Blr w.rk will Le c. pl d ill wh.Lh.r sp-1 ed h ef. _ t+ Th g e 1 4 i
I. Bove .whordy to vloVOts nr c noel Iho Pmylsiogs ul any uth ' swlc o IBna1 r
"f any
!3
S2. o-
perlBrmence of poPSVucdon. SE. REVS ESIDE REUUIRE�INSPECTI N
lumbina
DATE OF APPLICATION - / I V — NATURE OF APPLICANT
SPECIAL APPROVALS Will CONDITIONS:
NAM.
J
-� - I�)e�tiiA°-2
PIen CM1eck
��L
• er. a
�,
Meblfa Neme
nP n
YT+(,r,
OIA.r lSpwilyl
IL
. j%Mr
�e E•a,n �., ..
t rd�it, µ
TOTAL
S
REnMR NUMBER
S I a -3-Tz
f
nn N
. lr0.x
'479