1982, 01-14 Permit: 82A-269 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT S2.1(3t- 2- )CA
(b/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB A RESS
1. 4 V� ✓l el ,., LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * * 1600
OWNER _
3. i I� W L p�qo 0v1rk �lE-C--6-75 C>`f * 1 3 0 0
ADDRESS _` ZIP Actual Set Backs in Feet
'3�-1 ]
+- � 'll North ISouth East 'West * 1800()
�
CO NTRACTOg ligh.dics_it Size of Parcel Zone Classification A * v r ( c
b-'311/\ KII-44-iii0y
4. ADDRESSZIP Type Const. Occupancy Sprinklered 2 6 8
i•-( SC 0(d
';--�I C.�i, L Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. U 1 — 1 4—8 2
6,479.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO , Area of Decks Finished Basement Unfin. Basement
6. (3tL__ Yd
� ,�// No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
0 NEW RA—LT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF / 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WOR-IC.�., (( Enum. Dist. I Location (Area) ' FEES COLLECTED
8. ---\--N?-Act, CCI)L.V\i'>t it(\.l tjU\1\1\11A/ 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO S Plumbing
— Z r14?
f Mech. 18'.0-C7
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
6r0
Planning 75 - c)
O
Mobile Home LU
Fire Marshall --1
.:
Co. Engineer 2-0 s— I L, Other(Specify)
Utilities f 0 r __ r1' tl
2/ TOTAL $ u
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
a
uilding TechnicianPERMIT IS NONTRANSFERABLE 0.1 ; ,'1 4 r-.,8.2 2 6,9 °z * 1 8.0 0 a
7, 3.-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL