1982, 08-24 Permit: 82A-7388 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
J NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB DDRE 5
1.
6 LEGAL DESCRIPTION — SEE ATTACHED
LOT BL K DI I ON PARCEL NUMBER/S
2.
OWNERHONE
3. '
ADRESS -
Z P
Actual Set Backs in Feet
��
0:2, C,
North South
East West
CONT ACTO
R
PHONE
Size of Parcel
Zone Classification
4'
ADDRESS I
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
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.
TYPE NEW ❑ T. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellinc
%, OF 1:1 OTHER
�
WORK 1:1BLD. MB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'c
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8
..L�
FEES COLLECTED
VALUATION
OU CE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public El Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" prov:not
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances
type of work will be complied with whether specified herein or not. The granting of a permit doBuilding
]de
to give authority to violate or cancel the provisions of any other state or local law regulating cons
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSy,
Plumbing
e ?
�`—'
DATE OF APPLICATION SIGNATURE OF APPLICANT oQ `
Mech.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
I
NAME DATE
a
i
SPECIAL CONDITIONS:
1 H7�
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
03* *4900
*49.00Y
A *0i:10 '2:
738.7
08-24-82
6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
018 L-4 4 -'`8 2, 7 3 8, 8 25
*49.00a�- I -