1982, 11-15 Permit: 82B-1001 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY —1CJILUING CODES DEPARTMENT r 1C>C5 /
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
el
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED • * a ti. :; 0 0
1. 12 8 a.: stya«eti�
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * (I E, U 0
2. , EOWNER PHONE { ''
3. H./*ftt -p -y4- dca _ iCC. !
ADDRESS ZIP Actual Set Backs in Feet
North 'SouthEast 'West l I
CONTRA TOR PHONE Size of Parcel Zone Classification
(oxo 5c leredo-gi ec-.4-1-,;,�,t ja -,35‘22 6 ti % G
4. ADDRESSS� c7t Z / Type Const. Occupancy Sprinklered
i✓Ow�3i«s5- 't?'a`� ❑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 No. Baths No. Stories No. Rooms No. of Dwellings
Ja.NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. 17- ..
PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) f
8. 0 1 7)17.LZ f FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0
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 16--ct
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION " /6 SIGNATURE OF APPLICANT -/ as,_ Mech.
pi— _
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health c.-
Fp" 54-64-is SEPA %,_
Planning �-j
I
T1 —
LLI
Fire Marshall / i' g.L Mobile Home .
Co. Engineer 1 6/vt- Other(Specify)
/ LuorS4iTA_
Utilities f� v_
� P TOTAL $
Plans Examiner I i4..#1
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ping chnician PERMIT IS NONTRANSFERABLE 11,-1-1 5 —.8 2 1i 0 0,1 z *4 5. 0 0,a
� ,,PY �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL