1982, 07-26 Permit: 82A-6397 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY —i BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKAIJ E,'WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. C , l (oE303
kezeov
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
N\t-rcuc-e_t_
PHONE
"226 -6E5,
PARCEL NUMBER/S
ADDRESS
E.2%0{0
OL f NIP Lc
ZI P
Qct07.15
4.
5.
CONTRACTOR
SAnne
ADDRESS
SA -vote
DESIGNER
PHONE
ZIP
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North • ISouth East - 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves CNo 0 Req'd.
Valuation Building Area in Sq. Ft,
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
7.
TYPE
OF
WORK
/NEW
0 BLD.
TO
Area of Decks
Finished Basement
Unfin. Basement
ID yr.
PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
B'
VALUATION SOURCE GAS
OF
9. UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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 7fin c,"4 2 SIGNATURE OF APPLICAN
SPECIAL APPROVALS
'NAME DATE
Env. Health
lanning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
3 -To+ E s
LAMS
+' SA10t�rZ
Z Tln'T3
KIT S1rvc
I Hz0 :0-5
Q
1 L. PIAN OR- T't 3
1 'STAND 'WPC
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 4f ei.cc
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$r�7-CCb
1
PERMIT NUMBER
g' -a -4-A-1
03* *57.00
*57006
A *000
639.68
07-26-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07¥ i6='8'2
DATE ISSUED
639.75 *5,7.00(I -
PERMIT NO. TOTAL