1982, 11-05 Permit: 82B-655 Mechanical FixturesPLAN NUMBER PERMIT NUMBER
APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT s
A NORTH 811 JEFFERSON / SPOKAME, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM
6.
v4* *1400,
*140,0
I i
r
1 1 -G15-R2
_- 6 4 7 9,
Li
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
1
JOB ADDRE715-0 5 / ' 1"v�
G//
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
S
PARCEL NUMBER/S
2.
Not Req'd.
I
EXEMPTION
DESC�IBE WORK �J1.�Enum. Dist. Location (Area)
FEES COLLECTED
4SEWEOwnership
OWNERr
jr,git
f
VALUATION SOU E GAS EL WATER USE CODE
PHONE
O Public ❑ Private ❑
9. UTILITIES
3
1
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ADDRESS
/
3 t -Il.-
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
ZIP
$ J
( I
Actual Set Backs in Feet
North South East West
DATE OF APPLICATION SIGNATURE OF APPLICANT
CONTR TOR
SPECIAL APPROVALS SPECIAL CONDITIONS:
PLIONE
Size of Parcel
Zone Classification
Plan Check
f�
Com. .�.
c j
` )L- Gr'
SEPA
4.
ADDZI
Mobile Home
Type Const.
Occupancy
Sprinklered
Co. Engineer
Other (Specify)
Q
Utilities
/ �
;- 10,1
TOTAL $
❑Yes ❑No ❑ Req'd.
Plans Examiner
DESIGNER
IN THIS SPACE,
PHONE
Valuation
Building Area in Sq. Ft.
5.
ing eAnic an PERMIT IS NONTRANSFERABLE
1 l ^ 0 � -'8 2
6 5. 5 z
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
v4* *1400,
*140,0
I i
r
1 1 -G15-R2
_- 6 4 7 9,
* 14. 0 0 01L �
*14pp°�--, -
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AWN. RPL. ❑ MVE.
7, OF
13 BLD. ❑PCMB. ,15i MECH. ❑ M.H. ❑POOLCERTIFICATE
Req'd.
Recd,
Not Req'd.
WORK /
EXEMPTION
DESC�IBE WORK �J1.�Enum. Dist. Location (Area)
FEES COLLECTED
4SEWEOwnership
,e , • .of
8 Z ��
VALUATION SOU E GAS EL WATER USE CODE
O Public ❑ Private ❑
9. UTILITIES
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
Building
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 INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist
THIS BECOMES A PERMIT.
ing eAnic an PERMIT IS NONTRANSFERABLE
1 l ^ 0 � -'8 2
6 5. 5 z
* 14. 0 0 01L �
*14pp°�--, -