1982, 04-22 Permit: 82A-3052 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/1 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
l./ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Joe DDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. ,a �.O .- as - d - C17
LOT BLACK SUIVISION �V�, ✓� �, PARCEL NUMBER /S
OWN BR
3 "IJ4i
ADDRESS
ZIP
Actual Set Backs in Feet
North South East
West
CONTRAC
J .."°
PHONE
8
Size of Parcel Zone Classification
4' A RESS
13;7—
Type Const.
Occupancy
Sprinklered
Q - o x
(
❑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. Baseme
6.
No. Baths
No. Stories
No. Rooms
No. of Dwel
TYPE NEW 1:1 LT. ❑ AD'N. ❑ RPL.
El MVE.
7. OF
El OTHER
1:1 BLD. I��JJJ PLMB. ❑ MECH. ❑ M.H.
❑ POOL
CERTIFICATE
q'd.
Recd.
Not RI
WORK
of EXEMPTION
DESCRIBE WORK
Enum, Dist.
Location (Area)
FEES COLLECTED
s.
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9, UTILITIES
Public El 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
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
Cl/`l.I /lC A-1 I1A SIT Mech
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
ns Lxam
SPECIAL CONDITIONS:
�G
4-
4.. -5 .
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
ling
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
"4.
PERMIT NUMBER
03* *117,00
*117..00
*117001
A *0,00 COD
305.1
04 -22 -82
z 6479,
ACE,
PERMIT IS NONTRANSFERABLE 04'-12' — $' 2 3 0 5 2 z * 117.0 0 °' -j
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
a
0
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