1982, 11-17 Permit: P82B-1134 Plumbing Fixtures(PLAN 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
1.
2.
3.
JOB ADDRESS
LOT 0
SUB IVISION�S
4.
OWN
ArR77/ 7760/
CO
•
Is
6.
RA• TOR
DESIGNER
ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
NEW
BLD.
ZIP
ZIP
PHONE
ZIP
TO
❑ ALT. El AD'N.
$-PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel
Type Const.
Occupancy
Zone Classification
Valuation
Main Floor
Upper Floors
Area of Decks
No. Baths
9.
DESCRIBE WORK
7✓
VALUATION
SOURCE
OF
UTILITIES
WATER
SEWER
En
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
um. Dist. I Location (Area)
Storage
Unfin. Basement
No. Rooms
Ownership
Public ❑ Private ❑
Req'd.
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 4-gulating construction j the
performance of construction. SEE REyERSg SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
Otw. Afit. /a/
Zeu. /mss �. FO
ke. ral- mt. 41-
la 5�our�.
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Recd- Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
NOVI 7/982
03* *49.00
*49,006
A *000 8
11332
11 -17 -82
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11 17 -8'2 113.42 *49.00 F-' -
DATE ISSUED PERMIT NO. TOTAL