1982, 09-24 Permit: 82A-8648 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
JOB ADDRESS
1.
/79/F riakocill LEGAL DESCRIPTION - SEE ATTACHED
2.
3
LOT
BLOCK
SUB. VISI
OWNER
PHONE
PARCEL NUMP.ER/S
ADDRESS
CONTRALTO ( /O � jku`
crpti
4' ADDRES II C
i vel
DESIGN pp
5. 11C.'4 f(41 A.l91 �(.�' l
ADDRE5.0 5t7}1J f
ZIP
PHONE
1
ZIP
ZIP
Actual Set Backs in Feet
North 'SouthEast 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Yes ONo 0 Req'd.
Valuation Building Area In Sq. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfits. Basement
.NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. F.PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
8.
VALUATION
9.
P(uuJiuq PKtill
SOURCE GAS
OF
UTILITIES
ELECTRIC
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)
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 INSPECTIO
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co- Engineer
Utilities
Plans Examiner
SEPA Checklist
B ilding Technician
(/ z /'- SIGNATURE OF APPLICANT
$$$//PECIAL CONDITIONS:
2a.
1 • �1(,C- heft Rept row./
reit! fi-reA
` tity
/. PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
&IZA -S 4e
03* *49.0.0'
*49.006
A • *0.00 3
86472
09-24-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
019.7r,p14 7 8,2 .
864185*49.00TE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE - DATE ISSUED PERMIT NO. TOTAL