1982, 10-06 Permit: 82A-9142 Mechanical FixturePLAN 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
. NORTH 502 6a00k.5 H Rel. = t'ct�
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
ADDRESS
. y3 ; PLNkO.
PHONE
r
PARCEL NUMBER/S
ZIP
Actual Set Backs in Feet
1South Eas
North
Wes
CONTRACTOR
PHONE Size of Parcel
i 1 E`er kni\ FER, ) NC.. 1 - Se),:72
ADDRESS ZIP Type Const.
1 RE)/ (0 I )Q/ T-& 1 Q-010
DESIGNER PHONE Valuation
5' ADDRESS
CHANGE OF USE FROM
6.
TO
ZI P
Zone Classification
Occupancy Sprinklered
Eves ❑No El Req'd.
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
X MECH.
❑ RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WORK
8. INv5170L i . Csf15 ;r i
VALUATION
9. &501 C0
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I 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 Ife2
SIGNATURE OF APPLICANT
SPECIA'_ APPROVALS/
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
'PECIAL CONDITIONS:
80ja00 87u,
IT
"tyihr-- -C7
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
ac
$ 18, co
PERMIT NUMBER
i7
14* *1800
*1E006
A *0.00
91/1
10-06-82
z 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1U -O6-12
DATE ISSUED
91422 *18,00°� -
PERMIT NO. TOTAL