1982, 11-16 Permit: 82B-1109 Mechanical FixturesPLAN NUMBER —�
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS s" 1! ( / r�
1.
//r// LEGAL DESCRIPTION —SEE ATTACHED
3.
i
A
ZIP
Actual Set Backs in Feet
North South
East West
C "R 49
Size of Parcel
1
Zone Classification
4.
A S `
Type Const.
Occupancy
Sprinklered
/
❑Yes ❑No 11 Req'd.
D IGNER
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.
TYPENEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellinc
7, OF II -- ❑ OTHER
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'c
WORK
of EXEMPTION
I
ES I E
.. •
Enum. Dist.
Location (Area)
FEES COLLECTED
$
VALUATION
SOURCE
ELECTRIC
SEW R
Ownership
USE CODE
9.
UTILOITIES
ly I
7ATER
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. S E REVERSE SIDE FOR REQUIRED INSPECTIONSj
Plumbing
r
/
,vy
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIO
NAME DATE
9G
Plan Check
Env. Health
SEPA
Planning/
-! ` S�" "� ! _ ' �✓ �/ T��-Ls �I b Mobile Home
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL $ 6Z)
0 1 PERMIT NUMBER
vz t3 11071
G4* *12,00
*1200
11-16-82
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'1L 6-812 110.,9 z
DATE ISSUED PERMIT NO.
*12.002. -
TOTAL
0
C
C