1982, 10-15 Permit: 82A-9658 Mechanical 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. 1 1 -?,A / I - E LEGAL DESCRIPTION - SEE ATTACHED
ISUBDIVISION I PARCEL NUMBER/S
CHANGE OF USE FROM TO
s.
PHONE
7,? * - 3
ZIP
`1
LOT
B O I
2.
Size of Parcel
Zone Classification
OWNER
Type Const.
�11LIV
3.
PHONE
ADDRESS/
Building Area in Sq. Ft.
ZIP
C TQ A
4.
Garage Area
Storage
ADDRESS
e, I-17 r
Finished Basement
DESIGNER
5.
ADDRESS
ISUBDIVISION I PARCEL NUMBER/S
CHANGE OF USE FROM TO
s.
PHONE
7,? * - 3
ZIP
`1
Actual Set Backs in Feet
North South East West
PHONE
Size of Parcel
Zone Classification
ZIP
1 -A % L
Type Const.
I Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF WORK 1:1 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El ❑OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. FEES COLLECTED
USE CODE
VALUATION SOURCE GAS ELECT IC WATER SEWER
Ownership
OF Public El 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
Plumbing
rIATF (IP: ADDI Ir`ATI(IAI 1 ®"'� / ` A •L CI(_AIATI IOC /lC ADD] I!`AnIT / Jf�J�Y'M Ii_y �✓7S w _ � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health �r
Aq
Planning
t
ngineer
ns Examiner
hM an PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)-
D 41
TOTAL $ 'y
PERMIT NUMBER
04* *14..GCi
* 1 u.00�
* n 0
A 0.0 0
9 C 7 z_
1u -15 -?2
479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
o
10 15 82 9b5.8Z
*1400°I -