1982, 10-04 Permit: 82A-9040 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 JOB ADDR O7 J `
/ LEGAL DESCRIPTION —SEE ATTACHED
LOT-rOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3
PERMIT NUMBER
03* *k!900
*G.9,00�
ADDRESS
ZIP
Actual Set Backs in Feet
SEPA
CL
North South
East West
F /,
9 0 J, 9 c
CONTRACTORC6.4
PHONE
Size of Parcel
Zone Classification
to Slwvoex
Ilf�
1 `^'lr J/
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10-04-8^c
rL-LC f
Other (Specify)
Co. Engineer
4.
ADD SS
ZIP
Type Const.
Occupancy
Sprinklered
4 7 9
/
let TW
❑Yes ❑No ❑ Req'd.
DE NE&16
P(V{0i ES
Valuation
Building Area in Sq. Ft.
CI
IC
5.
Vv
WHEN MACHINE VALIDATED IN THIS SPACE,
ADDRE
ZIP
Main Floor I Upper
Floors
Garage Area
Storage
_
'R
PERMIT IS NONTRANSFERABLE
i.-
10..04-82 9002
* 4 9. 0 0 o J
aI- -
Building Te ni i
1
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
PERMIT
6.
DATE ISSUED PERMIT NO.
TOTAL
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwellings
11 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF C1 OTHER
Ps .BLD. 1:1PLMB. ElMECH. 1-1M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WO K
Enum. Dist.
Location (Area)
FEES COLLECTED
/
S. 1 t/
VALUATION
SOURCE
G
ELECTRIC
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
FWATER
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
4/j"
DATE OF APPLICATION 4J�L— V SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
JJJ
lu t� —
���K"RRRR�� KJ
PlanningO
"'jr_
SEPA
CL
p•�
�U •
j�j.L
F /,
Mobile Home
_ U
Uj
Fire Marshall
to Slwvoex
Ilf�
1 `^'lr J/
�_
/6
A * ^!
Other (Specify)
Co. Engineer
e `11^'1
it /J
Utilities
let TW
TOTAL $
Plans Examiner
`
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
'R
PERMIT IS NONTRANSFERABLE
i.-
10..04-82 9002
* 4 9. 0 0 o J
aI- -
Building Te ni i
1
J
PERMIT
EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO.
TOTAL