1982, 08-09 Permit: 82A-6892 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 ADDRES
1.9 14 t.,gkl �,�! LEGAL DESCRIPTION —SEE ATTACHED
2.
OWNER PHONE
P21011
9 Q2421
3.
ADDRESS
ZIP
Actual Set Backs in Feet
/
S
. KAYG/ .
North South East
West
CONy�AC R
�l F3t4j`�
HONE
Size of Parcel
Zone Classification
-� 5
�`� - D
..
4' ADDRESS
Type Const.
Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE ,�
L7 NEW❑ LT. ❑ AD'N. ❑ RPL. ElMVE.
7, OF ❑ OTHER
_/
EI BLD. L'� PLMB. 1-1 MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
8 yr_
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
I
Public ❑ Private ❑
Single $
I hereby certify that 1 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
=-?0z
DATE OF APPLICATION SIGNATURE OF APPLICAN
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
''�11
� �V C-,
Env. Health
j ,fJ k3
I
SEPA
Planning
Fire Marshall Llrculs . Mobile Home
514V v!�Ile
Co. Engineer I ""�' - Other (Specify)
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $�
PERMIT NUMBER
z - �C 2.
03* *25.00
*25.00
A *0:00 00
689.12
08-09-82
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0874 4`2 689.2z
DATE ISSUED PERMIT NO.
�2500°a12
TOTAL