HomeMy WebLinkAbout1982, 05-14 Permit: 82A-3780 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
1.
2.
3.
JOB ADDRESS„
LOT
BLOCK
NP/4
fxcvee/
S f DIV) ION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
/O0// &vdzio//J
PHONE
6-i,T6/
PARCEL NUMBER/5
ADDRESS
CONTRA. RJr // 6
/K1 LLLL.S U i.r kith/
j
4. ""EO r �Y 31A,9912 -n
ZIP
PHONE
G14R 07e
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North - 'South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves ❑No 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
Unfin. Basement
IIXNEW
' 0 BLD.
❑ ALT.
IX PLMB.
❑ AD'N.
❑ MECH
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms,
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
SOUR
OF
UTILITIES
Sen4447 /�/i�/uee5
CE ELECTRIC .
GAS
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. SEEEER&VERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist .
SIGNATURE OF APPLICANT
SPECIAL. CONDITIONS:
2dr..W/4
/P,/I r 4-
' 5.h
/4' ‘445, Aft
Mi. /,/lea. ien4t
4 PADA /94041!
/1 - ,lk'A aeiM'
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ e/r7.2
PERMIT NUMBER
Salo - 378°
03+ *49.00
*49.00
*49.006
A *QQ0 3
377.92
05-14-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0;�5 `raii 1.81.2: 317 81'0'Z *419 0'0 ° g. —
DATE ISSUED PERMIT NO. TOTAL