1982, 04-22 Permit: 82A-3050 Plumbing FixturesPLAN NUMBER 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 ADDR
W.
AL-,K LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK [,UBUIV1151U�NPARCEL NUMBER /S
2. G�
OWN ,ER
4'
PHONE
✓ /Vv J
4-
ra. Cy, .
ADDRESS
ZIP
Actual Set Backs in Feet
North South East
West
COJUACTOR
HONE ��
Size of Parcel
Zone Classification
4'
ADDRESS +./ ,�/�
P
Type Const.
Occupancy
Sprinklered
-0 ° ✓` 2 '/
Dyes []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.
I
TYPE NEW ALT. 11 AD'N. El RPL. 1:1 MVE.
❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF / El OTHER
WORK 1-1 BLD. D PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8.
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
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 cancel the provisions of any other state or local law regulating construction or the
' f �7
1
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing J�—
714
DATE OF APPLICATION- ° Z — _ SIGNATURF nF APPI IrnnlT ; /- '1!
Mech.
NAME DATE
Env. Health
Planning
Fire Marshall
neer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
4'
W G
✓ /Vv J
4-
ra. Cy, .
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
-,,o 9�]LA - 2�0
03* *117.00
*117.00
*117:00
A *000
3011,99
04 -22 -82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0;,4122-82' 3.0'5,02 *117.00°,
DATE ISSUED PERMIT NO. TOTAL
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