1982, 11-03 Permit: 82B-0533 Plumbing FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 1,;2,-7/0 T .15�,,uz-a LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. .4 6e—O
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONT CTOR
6e -lo 6;r*f- k rewNvice qc,
PHONE
Size of Parcel
Zone Classification
4'
ADDRE/S•y,(��^� �+
Z
Type Const.
Occupancy
Sprinklered
byfSjL���
❑Yes ❑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. Basement
6.
TYPE W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
i
to give authority to violate or cancel the provisions of any other state or local law regulating construction or thettl�'`
l
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
nATP M= APPI WATION1 L ! &�� Cir NIATI IDC: nC ADDI IrAniT /7:
Mech.
SPECIAL APPROVALS
NAME DATE
i. Health
nning
e Marshall
Engineer
lities
ns Examiner
PA Checklist
ec 1cian
SPECIAL CONDITIONS:
v
aea.4S Jf
,-,ivcL
w.g O -W 4F
r
I F0
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
Pte- -033
*l�Fnn
H * Q
5J,2:
11-03-82
6479.
TOTAL $ T�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11`03''8:,2 53.'32
*45.00°
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