1982, 11-08 Permit: 82B-735 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SFOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1• S. 1505 Mica Park Dr. LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
s M.T.H. Construction (Tim Haff) 926-4922
ADDRESS ZIP Actual Set Backs in Feet
S. 1505 Mica Park Dr., Spokane, Wa. 99206 North ISouth East iWest
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
TypeConst.
Occupancy
Sprinklered
E. 623 Liberty, Spokane, Wash.
99207
Dyes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area In Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPE � NEW ALT. 11 AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7 ,❑.t,
❑ BLD. LN PLMB. 1-1 MECH. ❑ M.H. ❑ POOL ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
s. Plum in Installation - New - SFR
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
I
Public ❑ Private ❑
Single $
1 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
Building
to give authority to violate or cancel the provisions of any other state or local law,regulating construction or the
48.00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
11-04-82
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Env. Health NAME DATE 12 Fixtures @ $4.00 ea. + $5.00 Permit Fee = $53.00
1) Kitchen sink, 1) Dishwasher, 2) Basins, 1) Tub,
Planning 1) Shower, 2) Toilets, 1) Laundry, 1) Laundry tray,
Fire Marshall 1) Water heater, 1) Floor drain.
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
PERMIT NUMBER
9t Fr'r'
U
*L ,. 00'"
4 0, J
7
1 1 -[-0.r�-R2
64 /
Mobile Home
Other (Specify) 5.00
Fee
TOTAL $ 53.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l'Tl -08-82 73.525
*53.00 a�'- -