1982, 10-07 Permit: 82A-9205 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT e2'A --6124,5-
I
NORTH 811 JEFFERSON / SKA,^NE_WASHINGTON 99260 / (509) 456-3675
e../ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1• dies/ 7 ate
es�¢i LEGAL DESCRIPTION - SEE ATTACHED C 3 * * 4 5. 0 0
LOT BLOCK SUBDIVISION
PARCEL NUMBER/S
2. * 4500,
OWNER, /
Pie-7121..n
3.
ADDRES$�. ZIP Actual Set Backs in Feet 9 2 J 4 f
North
South East �.8
CO TRACTOR
P;:-1,34. gar Size of Parcel West j — 0 72
D S 9` Zone Classification
4.
6,4 ' 9
I):��//ADS
Type Const. Occupancy Sprinklered
o-3
D� E- fiarx ss�- ZY ! ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation
Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths I No. Stories No. Rooms !No. of Dwellings
TYPE �EW ❑ ALT. El AD'N. 0 RPL. C7 MVE.
7. OF y/_ ❑ OTHER
WORK
El BLD. E FLM B. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. I Rec'd. rot Req'd.
of EXEMPTION
DESCRIBE WORK Enum, Dist. I Location (Area) '
8. /c9 �!K 7 "$ FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWERI
OF
Ownership I USE CODE
9. UTILITIES Public ❑Private ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Single $
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 Building
to give authority to violate or cancel the provisions of any other state or local law reg .ting ..nstruction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
��yqq ` Plumbing
DATE OF APPLICATION ot,((7(#2.--- SIGNATURE OF APPLICANT Al' Air Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health et)
Planning O� ,Acs SEPA >
l T'3 n_/! ��
�jwOfVS.L _ C:
Mobile Home —j
Fire Marshall ,
u_
Co. Engineer ( /4 J tl•
"C/ �/ Other(Specify)
Utilities IW�.SD�
roe—
Plans Examiner
( �� TOTAL $ IS r
.51‘)4.—. WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
in chnici PERMIT IS NONTRANSFERABLE
� '`' 4�` 10 07 -i82 92. a52 *45,00 ° 1- -
U PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL