HomeMy WebLinkAbout1982, 11-12 Permit: 82B-862 Plumbing Fixtures,PLAN 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
JOB ADDRESS
1. . OSI L,o S'1
L
LOT BO K SUB,IVISON
2.
3
OWNER
5 Fes' I-
AOORr O. I �f.�G(,I�
CONTR CTOR O�
�}-n�(s Qp���L�JM�1„
Q. ADDr F•S�' 1 5 �' 'i kh,
DESIGNER
5.
PHONE
z8-7392
IP
Q�
,4-2057
H7-.244
ONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs In Feet
North (South [East IWest
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinkleretl
❑Yes ❑No 0 Req'd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE /NEW
7. OF
WORK 0 BLO.
DESCRIBE WORK �J('
B Rx
VALUATION URGE GAS
OF
9. UTILITIES
TO
Area of Decks
Finished Basement
Unfln. Basement
❑A 3T. 0 AD N. 0 RPL. 0 MVE.
-YJ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No: Rooms'
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
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
ruing this
of presume
uction or the
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances go
type of work -will be complied with whether specified herein or not. The granting .f a permit does
to give authority to violate or cancel the provisions of any other state or local la •-.ulating cons
performance of construction. SEE VERSE SIDE FOR REQUIRED INSPECT('
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plan
Examiner
SEPA Checkl
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 1-7-
ech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
i
TOTAL $
PERMIT NUMBER
C%zp b&!-
03* *17.00
* 1 7.006
A *000 S
8612
1'1-12-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1:1;11'27'8112` 86:22 )1'17,00 2
DATE ISSUED PERMIT NO. TOTAL