1982, 12-27 Permit: 82B-2199 Mechanical FixturesNUMBER 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
RESS LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLUGK-j5UBDIVIbl(.)N PARCEL NUMBER/S
OWNERPHONE
3. &-i 641 ri
ADDRESS
ZIP
Actual Set Backs in Feet
North South
East West
CONTRALTOPHONE
Size of Parcel
Zone Classification
!1131Y V
4' ADDRESS�f
ZIP.,
Type Const.
Occupancy
Sprinklered
ifJa 7
Dyes ❑No ❑ 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. Basem(
s.
�((
TYPE Of-,,N❑ ❑ ❑
No. Baths No. Stories
No. Rooms No. of Dwe
V�NEW ALT. AD'N. RPL. MVE.
7, OF ❑ OTHER
E)BLD. ❑ PLMB. KM -1 ❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
DESCRIBE WORK !"�Cp t{-y�
t'►
Enum. Dist.
Location (Area)
FEES COLLECTED
8. , /✓C ...ALIVI i6 LrZ C /l+'
L A17
VALUATION
S URCES
GAS
WATER
SEWER
Ownership
USE CODE
9.
OF
1UTILITIE
J'ELE�eTRIC
Public ElPrivate ❑
Single $
1 hereby certify that 1 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 thisBuilding
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 INSPECTIO,NNS
Plumbing
DATE OF APPLICATION f 11 2 7f P Z---- SIGNATURE OF APPLICANT i'
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
anning
re Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Plan Check
PERMIT NUMBER
SEPA
f
f
S
Mobile Home '
i
Other (Specify)
y +
TOTAL $ X!Y
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l�uy(ding�gGhn a� �� PERMIT IS NONTRANSFERABLE 1-2"27 $� 2 2'19. 9 z *24.002ij-