1982, 01-14 Permit: 82B-260 Plumbing Fixturesr'1,AN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY —BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO O MAKE 3•COPIES
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JOB ADDRESS . //�,,/((///�(&
LOT BLOCK ISUBDI IV SIGN
2.
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWN
Ab,
l404/42
4.
y�C
CONTRACTOR
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RES
SI i ox 3�D
DESIGNER
Ana
5.
ZIfnairo
;IP
c 51'&67
PHONE
ADDRESS
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves ONo 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
5. NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
❑ BLD. KPLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
/7 1-, x -A r&5
GAS
ELECTRIC
WATER
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
- CERTIFICATE
of EXEMPTION
Req'd.
Recd. .
Not Req'd.
Enum. Dist.
Location (Area)
SEWER
Ownership
Public O Private 0
USE CODE
I 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 permit does not presume
to give authority to violate or cancel the provisions of any other state or local la atingistr ction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT( / t
DATE OF APPLICATION / /11 / (Ja SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE j1
Env. Health �✓
Planning 2:1//e4 -T--
� ',/
Fire Marshall i9— ,Ccc.y
Co. Engineer / 5�l,:d k,
Utilities / -- I,t/ 6frer .
Plans Examiner / — RI/.5(7//9" L//
SEPA Checklist /� [424/ 42
dtztIngye,hnician PERMIT IS NONTRANSFERABLE
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r/oorair-•./
�- iDezas4Pr
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
orD
Other (Specify)
$ 7gret-7
TOTAL
PERMIT NUMBER
—2@O
03* *7300
*7300 tii
*73006,,
A *000
. 25.9
01,-14782
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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DATE ISSUED 4 '
2605, *7;30'0oJ
PERMIT NO. TOTAL