1982, 12-10 Permit: 82B-1798 Plumbing FixturesAPPLIGATION/PERMIT
SPOKANE COUNTY — BUIL-DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT:'40MPLETE
NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB DORESS
ccs ���
4'
LEGAL DESCRIPTION — SEE ATTACHED
DDRESS
ZIP
LOT
K
B—DIVISIONPARCEL
ke AL1 Q
NUMBER/S
2.
-]Yes ❑No ❑ Req'd.
DESIGNER
P ONE
OWNER
Building Area in Sq. Ft.
PHONE
3.
5.
ADDRESS
ADDRESS
ZIP
Actual Set Backs in Feet
Upper Floors
Garage Area I
Storage
North South East West
C TRACTOR 1)
PHONE
Size of Parcel
Zone Classification
ccs ���
4'
DDRESS
ZIP
Type Const.
Occupancy
Sprinklered
ke AL1 Q
a
9 a3
-]Yes ❑No ❑ Req'd.
DESIGNER
P ONE
Valuation
Building Area in Sq. Ft.
V 7c
5.
ADDRESS
IP
Main Floor
Upper Floors
Garage Area I
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellinc
7, OF ❑ OTHER
❑ BLD. ZkVrB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIB WO K
8. �4,ta- s
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATIO SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. 1UTILITIEOFS
Public 13 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
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 --�_
DATE OF APPLICATION oL %O ' SIGNATURE OF APPLICANT
Mach.
SPECIAL APPROVALSI
SPECIAL CONDITIONS:
NAME DATE
G
Plan Check
nv. Health
anning
ire Marshall
o. Engineer
s Examiner
ildT?t4_Tfchni;Ian
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
2 -1
C) -7, 1.100
*6 7,00X-
1 7 7 =_
6d79
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
]2 r10-82`' 179:82
DATE ISSUED PERMIT NO.
a
*37-01)0-1
ps
c
L