1982, 10-07 Permit: 82A-9207 Plumbing FixturesPLAN NUMBER I APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — B`UiLDtNG CODES DEPARTMENT clzo
n NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
• L� APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS —A
LEGAL DESCRIPTION — SEE ATTACHED
LOT B K PARCEL NUMBER/S
OWNER
ADDRESS
Sao!
CONTACTOR
4' ADDRESS
Za
.,.�. �S'vyu�•o.uJ
ZIP9a f Actual Set Backs in Feet
North South East West
PNE Size of Parcel Zone Classification
Ht-2?3y�j
ZI Type Const. Occupancy Sprinklered
* l., ❑Yes ❑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
s.
TYPE
W ALT.
❑ AD -N. ❑ RPL.
El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellir
% OF
OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'
EIBLD. A}-PLMB. 1-1 MECH. ❑ M. H. 1-1POOLEl
WORK
of EXEMPTION
I
DESCRIBE WORK 0
+16
Enum. Dist.
Location (Area) FEES COLLECTED
8. IF— Zf'
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑Private ❑ Single $
1 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 Building
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 Plumbing
C1
DATE OF APPLICATION40h / 9- Z— SIGNATURE OF APPLICANT ,5;7Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ill'
.:.._i
SPECIAL CONDITIONS:
Tv�
� S,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other(Specify)
TOTA L $ 7e�
03* *45.00
*45.00
A *0,00
920,6 29
10-07-82
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'0-07-82 920,76
DATE ISSUED PFRMIT Nn
*45,00 F
TnTAI
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