1982, 08-26 Permit: 82A-7519 Plumbing FixturesPLAN NUMBER
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 �
1. P. �t��Jh� ]c'.��r�u'ldtci' LEGAL DESCRIPTION —SEE ATTACHED
OWNER +�)
PHONE
its
3.
�
..
A DRESS
ZIP
Actual Set Backs in Feet
V
%
North South
East West
CO ACTOR
PHONE
Size of Parcel
Zone Classification
4. SS
ZIP
Type Const.
Occupancy
Sprinklered
7150
1
❑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
s.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
�P1EW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7
El BLD. X-PLMB. ❑ MECH. ElM.H. [I POOL ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
.�.
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTIL TIES
I
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 Building
type of work will be complied with whether specified herein or not. The grafflare
ermit does not presume
to give authority to violate or cancel the provisions of any other state or locating
constrtion or theperformance
of construction. SEE REVERSE SIDE FOR REQUIREDINSPECT
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICAN
�' Mech.
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer -- _
ns Examiner
SPECIAL CO (TIONS:
rtw Ora -;41
`e-oAq
#,,der
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
IJ 60- k " I \di
0-3 *01.00
*1.00"
A O.uL
751.
,&-26-82
6479,
TOTAL $�(/ I�
WHEN MACHINE MACHINE VALIDATED IN THIS SPACE,
THIS SPACE,
THIS BECOMES A PERMIT.
V8-26-82 751925
*8'1.00a-�J-