1982, 10-27 Permit: 82B-0223 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �
1 ^ ---In d�� LEGAL DESCRIPTION -SEE ATTACHED
OW R
PHONE
S
3.
ADOR SS
ZIP
Actual Set Backs in Feet
North South
East West
CONT ACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDR S
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
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. ❑ AD'N. ❑ RPL. ❑ MVE.
❑OTHER
7, OF1:1BLD.
1:1PLMB. ElMECH. ElM.H. 1:1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
D E WOR
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALLWION
SOURCE
GAS LECTRIC
W
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
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
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 INSPECT NS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
ech.
SPECIAL APPROVALS E
SPE&AL CONDITIONS:
NAME DATE
Plan Check
Env. Health
�
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer
Utilities
ans Examiner
gc�di echnic ia`
1%;;.-, YLQ
PERMIT IS NONTRANSFERABLE
Other (Specify)
TOTAL $�
A
2 c s=
I ` ry / — R 2
n. 4 , q.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-27-82 2Z'3z
*18,0.0 °�