1982, 11-12 Permit: 82B-909 Gas PipingPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 656-3675
2.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LOT �
IJEGA-L,DESCRIPTION- SEE ATTACHED
OWNER
3. J CAN I—ENNAp rsot4
ADDRESS
N •8o? Loruc-r
CONTRACTOR
4. 145/4C_ 40R9a51-710 ?
-
5.
PHONE
PARCEL NUMBER/S
ZIP
9q zoC
Actual Set Backs In Feet
North (South `East (West
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
6B!o F Ws -r AVE—
DESIGNER
ZIP L Iq zbG ^l
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement'
TYPE
7. OF
WORK
O NEW
❑ BLD.'
0 ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. 4; PIP
VALUATIONON SOURCE
OF
9. UTILITIES
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer •
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
1 OUTL-P-t
1"--3o`
2.00
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech,
0..*7
Plan Check
SEPA
Mobile Home
,A 00
Other (Specify) AU/ X4
TOTAL
DO
$/z?or
PERMIT NUMBER
• 0z6— 90?
. 04* *1200
* 1200 rn-
* 12.006
A *000 8
9072
1'1=12-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12+MIi5,2': 8:2'
• 90.'92
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
0..
0
0
—J