1982, 07-28 Permit: 82A-6528 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 01 Pt—�9.-68
I / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 7 22 Sr-La
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
03 * * 66.00
JOB ADDRESS DESCRIPTION — SEE ATTACHED
1. S , etil2-6 ' 65' r ,trw 66.00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S A * 0 0 0 E
2.
OWNER PHONE 6 5 2.7 a`
3. AD6'�tE 577))cKe� Z 72.4-3-05-1 07-28-82
Required Set Backs in Feet
.E, 133111 '"-/4 72:4 North 'South East (west -2 6 44 7'9,
CONTRACTOR + PHONE Size of Parcel Zone Classification
G t iGe(1-Zia }a-Von a/ec.. nq 03ci 6
4' ADDRESSc � ZIP Type Const. Occupancy Sprinklered 04.
Ai. 3tio7 '$77 ' U /(//1 b.
SDA/ e , ! a0! 2.,7 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE
KNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK 1=1 BLD. APLMB. IDMECH: ❑ M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8. ` IX.'Cr
FEES COLLECTED
VALUATION 1 Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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 regulating construction or the #6767
.O�
performance of construction.
‘,,..1
Plumbing
DATE 7''2.8'.9 ' SIGNATURE_le,41.4 r' .-Lx4-34 —) Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: � .
DEPT. REQ'D. REC'D. Cl..-C E t S Plan Check
Env.Health 'r' C kt ,=
SEPAj
Planning kAC:104ER.-- i,
L/
+ C.-- l.) —Mobile Home
Fire Marshall .i S '4.iO' tPC
Co. Engineer _2 tG T S (S Other (Specify)
Se-w+4c,s ESQ.
Utilities t Fc_12_‘ '71'LAtet,
TOTAL $ GG-QO
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /J/� THIS�f ;O E 1,
MIT 6 52 8 Z * 6 6.r
DATE OFFICIAL �`J'/ V �, `"' [[ ��.v
APPROVED R ISSUANCE •• ,.7