1982, 10--07 Permit: 82A-9201 Plumbing Fixtures PLAN NUMBER APPLICATI l/PERMITPERMIT NUMBER
Iv It A _
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
C' ' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. liecrQ 4, % e��5 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 09 * * 1,1_ 55 0 0
2.
OWNER. / PHONE * �'
3. !„ '41C
44-�y4 c�la67ee/4.re o 4511t# '?7 A * 0 .i 0 0
ADDRESS ZIP Actual Set Backs in Feet
%J S 5e.,AsPe-as44.41 474rACe-/ North (SouthEast (West 9 2 0'0 G
CONTRACTOR �,/ PGH�NE Size of Parcel Zone Classification 1 0— 0 7—8 2
4.7t V9 Ar
4. ADD ESS Z / Type Const. Occupancy Sprinklered - p, [j; 9,
13 2-43 �frr1� �y..irr
❑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.
TYPElzaw
No.Baths No. Stories No. Rooms No. of Dwellings
0 ALT. 0 AD'N. ❑ RPL. 0 MVE.
7. OF ❑ OTHER
WORK 0 BLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ,�'+ Enum. Dist. Location (Area) FEES COLLECTED
8. tel X.'rJ,e rs I ,
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public 1=I Private ❑ Single $
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 •
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 regu ' • :•nstruction or the ,It,/��—
performance of construction.SEE`� REVERSE^� SIDE FOR REQUIRED INSPECTION Plumbing 66
DATE OF APPLICATION 7�e1' ' SIGNATURE OF APPLICANT � � '41111111'i � Mech.
C
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health Q. c
Planning � "✓4. a- SEPA
l 7-z...,,0
_ :1_.)
Fire Marshall Mobile Home -J
540w i,"'-'" c,:.
Co. Engineer ( co04 Other(Specify)
Utilities / K,4`9"-Fe--
p" TOTAL $
Plans Examiner
15��..- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
G%��ildin echnicia PERMIT IS NONTRANSFERABLE 1;0 i-.) 7 - 8 Z 9 2 a z *4 5, a *_
��t' ,!I, -(j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL