1982, 07-16 Permit: 82A-6091 Piping, OutletEPLAN 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
LOT
BLOC
3
OWNER
StJBDnVIST N --
Steve Bell
ADDRESS
Same
CONTRACTOR
4 King Mechanical Contractor Inc.
ADDR`tSS
W. 611 Tieton S.okane
DESIGNER
PHONE
ZIP
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
Of NEW
❑ BLD.
❑ ALT.
O PLMB.
PHONE
466-3550
ZIP
99218
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
f POOL
0 OTHER
DESCRIBE WORK
Install gas piping/one outlet
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
X
ELECTRIC
WATER
SEWER
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Main Floor
No. Baths
Occupancy
Upper Floors
East
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
Req'd.
Location (Area)
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 APPLICATION J `7S '1v
SIGNATURE OF APPLICANT/ /d1 i�ifA'e✓CGc�
SPECIAL APPROVALS
NAME DATE
Env. Heal' i
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Install gas piping/one outlet
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Storage
No. of Dwellings
FEES COLLECTED
Single $
Building
Plumbing
Mech. 2.00
Plan Check
SEPA
Mobile Home
gteherr ecify) 10.00
TOTAL $ 12.00
PERMIT NUMBER
r.l_?`j
04* *1200
*12006
A *000
609.02
07-16-82
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
076-8'2 609,15 *120021 -
DATE ISSUED PERMIT NO. TOTAL
FII F COPY