1982, 12-15 Permit: 82B-1955 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT �I.s
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. C Z
T B K BDI ISION PARCEL NUMBER/S
8.
VALUATION I SOURCU GAS ELECTRIC I WATER I SEWER Ownership USE CODE
e
OF
9. UTILITIES Public EI Private ElSingle$
I, hereby certify that I have read and examined this application and have read the "NOTICE" provisions includd
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
I,l, I -E OF APPLICATION - SIGNATURE OF APPLICANT _ Mech.
SPECIAL APPROVALS
NAME DATE
arming
re Marsha
es
ans Examiner
SPECIAL CONDITIONS:
l
Plan Check
PAIP11MIT NUMBER
1
SEPA a
C
_ C
Mobile Home L
v
rP1IJ Other (Specify)
TOTAL $
6
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE +
OW
PHONE
3.
0��
AbbfeliSg
ZIP
Actual Set Backs in Feet
e4"'
North South
East West
CONTRA TOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRE 5
ZIP
Type Const.
Occupancy
Sprinklered
"7
siz
Dyes [-]No ❑ Req'd.
DESIGtkER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area I
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT.
❑ Aj��`1. ❑ RPL.
❑ MVE.
7,
OF
f
❑ OTHER
❑BLD. ❑ PLMB.
1 MECH. ❑ M.H.
El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESC E RK
Enum. Dist.
Location (Area)
FEES COLLECTED
8.
VALUATION I SOURCU GAS ELECTRIC I WATER I SEWER Ownership USE CODE
e
OF
9. UTILITIES Public EI Private ElSingle$
I, hereby certify that I have read and examined this application and have read the "NOTICE" provisions includd
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
I,l, I -E OF APPLICATION - SIGNATURE OF APPLICANT _ Mech.
SPECIAL APPROVALS
NAME DATE
arming
re Marsha
es
ans Examiner
SPECIAL CONDITIONS:
l
Plan Check
PAIP11MIT NUMBER
1
SEPA a
C
_ C
Mobile Home L
v
rP1IJ Other (Specify)
TOTAL $
6
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE +