1982, 07-28 Permit: 82A-6511 Mechanical 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
JOBDDRESSS- �� 2� �� LEGAL DESCRIPTION — SEE ATTACHED
,. , 50
LOT B OCK IbUBDIVISION I PARCEL NUMBER/S
(''x"11
NA83. OW r. Uf CJk
PHONE
0
• 1 /��1),' Y,�
-,5-q b
ADDFUS S
Z P
Actual Set Backs in Feet
North South
East West
CON RACTOR
P ON
Size of Parcel
Zone Classification
co- 7v #,��1 i //V
Da
4. AD ESS p ESS %�
PQ
Type Const.
Occupancy
Sprinklered
� +V
ci44 AM
Dyes [:]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE❑ NEW ❑ ALT. ❑ AWN. ❑ RPL. ID MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
8.
I
FEES COLLECTED
VALUATION SOURCE G Ownership
5 ELECTRIC WATER SEWER USE CODE
9. UTI LOITI ES Public ❑ Private ❑
Single $
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
Building
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
Plumbing
"7441-1 NSS
Z::4!
Mech.
DATE OF APPLICATION V SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu l g T nicia
SPECIAL CONDITIONS:
000
TF
i�/ Ak,�-..
PERMIT IS NONTRANSFERABLE
PERMIT FXPIRFS r]NF VFAR FRnM nATF (1F ISSIIANCF
Plan Check
PERRM^IT NUMBER
(J2 �' - t
04* *24.00
*24.00
A *000
651.0
07-28-82
2 6479,
SEPAI a
C
C
Mobile Home
u
Other (Specify)
z:k AU
TOTAL $ ,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 -2 8..'8'2,' 651.1 z
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