1982, 09-24 Permit: 82A-8646 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNT j'- 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. �•
LOT
2.
BLOCK I51JB IV O NxC�9
LEGAL DESCRIPTION - SEE ATTACHED
3.
OWNER
PHONE
PARCEL NUMBER/S
1
ADDRESS
ZIP
Actual Set Backs in Feet
North (South
East
'West
5.
CONTRA/7;p 44c.i `2V
DE
ADS( fI SI�.S AAA 44,f /�/�44e.
,v. cx 3Q7S/ /
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
PHONE
Size of Parcel .I Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
I]Ves ❑No 0 Req'd.
49&7W
Valuation I Building Area in'Sq. Ft.
Main Floor
Upper Floors 1 Garage Area
Area of Decks
Finished Basement
Storage
Unf in. -Basement
lin NEW
BLD.
❑ ALT.
PLMB.
❑ AD N.
❑ MECH.
8.
DESCRIBE WORK ft/
VALUATION
9.
SOURCE
OF
UTILITIES
g Les
GAS
❑ RPL.
❑ M.H.
❑ MVE.
❑ 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
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 r 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
Building ;chnician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Glee. wk
/r4- ra—
ker- S/ C
• M
It (Cif.
tea- 62 A(.
l-. Fink Ws)
l`�• Ale.44 GLA,a)
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA '
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
6Zk • 867447
03* *49.00
*49.006
A '*Q00 8
86452
09-24-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01:9,`44+xn' 8.6462 *49.00aie
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL