1982, 08-18 Permit: 82A-7225 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
JOB ADDRESS
1. E. 11410 Ponderosa .
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3. W.R.S. & Associates, Inc..
ADDRESS
S. 4814 Spencer Lane, Spokane., Wash.
PHONE
924-6984
ZIP
99206
4.
CONTRACTOR
Miller's Plumbing
PHONE
483-2025 -
ADDRESS
E. 623 Liberty, Spokane; Wash.
ZIP
99207
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
ISI NEW
0 BLD.
❑ ALT.
PLMB.
❑ AD N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
B. Plumbing Installation - New - SFR
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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
DATE OF APPLICATION 08-17-82
SPECIAL -APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BtWtling �nicl n
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
19 Fixtures @ $4.00 ea. _+ $5.00 Permit Fee = $81.00
1) Kitchen sink, 1) Dishwasher, 6) Basins, 1) Tub,
3) Showers, 4) Toilets, 1) Laundry, 1) Water heater,
1) Floor drain.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Fee
TOTAL $
76.00
5.00
81.00
P
PERMIT NUMBER
03* *81.00
*81.00
*000 '8
72248
08=18-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08;= 8' 8'2 7.2'252 *81OMa� —
DATE ISSUED PERMIT NO. TOTAL