1982, 06-08 Permit: 82A-4649 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 ADDRESS
N. 0,'1 �3Ess.�c
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3. . de. i‘V-C.CDt
ADDRESS
N_g1.\
PHONE
E5s
ZIP
Actual Set Backs in Feet
North 'South East (West
4.
CONTRACTOR
C-, E eLw,c-t-k
PHONE
Size of Parcel I Zone Classification
ADDRESS
DESIGNER
5. ADDRESS
ZIP
4
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
❑ NEW
O BLD.
0 ALT. 0 AD'N. fciRPL. ❑ MVE.
0 OTHER
Ll! PLMB.
0 MECH. 0 M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. (2% E.-0c.Ac. 1 cLK:t- c�a✓ S
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
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 ARPLICATIONI�J� � — SIGNATURE OF APPLICANTX,
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil ing T nician
SPECIAL CONDITIONS: i.144.ANi2-'1 R2f'ssi
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing A
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
2i -4-4o4'
03* *1300
* 13.00
* 1300
R *0.00 0
464,88
06-08-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Oft(4 8.P i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
46491 *13.00°0) -