1982, 05-06 Permit: 82A-3536 DishwasherPLAN 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 !Av ��'�1�
BLO rSUBDIV?ISIONI.I sC LC
I� E�
LOT
2.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
4.
�. L•z
ADDR SS
CO3
PHONE
ZIP
Actual Set Backs in Feet
North 'South East (West
CO TRACTOR
PH ON
«F �� 7"
Size of Parcel
ADR_ES�SI 0 370 (j
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TO
Z
PHONE
ZIP
Type Const. Occupancy
Valuation
Zone Classification
Sprinklered
Oyes No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
0 ALT.
❑ AD'N.
PLMB. 0 MECH.
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
Area of Decks
No. Baths
DESA IBE WORK
8.
VAL ATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Finished Basement
Storage
Unfin. Basement
No. Stories No, Rooms INo. of Dwellings
11
CERTIFICATE Req'd.
of EXEMPTION
Enum. Dist, I Location (Area)
SEWER
Ownership
Public 0 Private 0
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 I.ws and ordinances governing this
type of work will be complied with whether specified herein or not. The grting of a per .'t does not presume
to give authority to violate or cancel the provisions of any other state or lo al :w regulati g construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECt ONS
DATE OF APPLICATION
2SIGNATURE OF APPL A
SPECIAL APPROVALS
NAME DATE
Fnv, Health
manning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B • Te nician
SPECIAL CONDITIONS:
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Me/h.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$(-
PERMIT NUMBER
'ZP-
?
*9.00
*900 r
*9.006
A *0.00 8
35352
`05-06-82
2 6479.
• WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
0'5-06-82
35362 *9.00Q -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL