1982, 01-14 Permit: 82A-273 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �ZA-2-73
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS '1. E 1 i Z-Z, S(L tv-vt --htsi of LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK <UBDIVISION PARCEL NUMBER/S
2. q` J`� ,^l 1 ��3. OWNER V(. V\)kclVoll _fPa�N67 GG * * 1u, G0
ADDRESZIP Actual Set Backs in Feet * 1E00
7 / T ( J North 'South East 'West
CONTRACT. R y,�, PrP' N Size of Parcel Zone Classification * 1 8 0 C
4. ~ /14 J it r L+ ,46...7e
r' * �' r -,v 2
ADDRESS (� p ZIP Type Const. Occupancy Sprinklered
N30\ 3 Ci t, ;��1/lL ❑Yes ❑No ❑ Req'd. 27
DESIGNER PHONE Valuation Building Area in Sq. Ft.
01 — 1 4-82
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 4 7 9, _
CHANGE OF USE FROM TOArea of Decks Finished Basement Unfin. Basement
6. ( )t___
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. ❑ AD' 0 RPL. 0 MVE.
7. OF 0 OTHERReq'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTIONLocation (Area)
DESCRIBE WO Enum. Dist. I '
8 �6 i d I 1VfyS Iv ')6\i vim% I FEES COLLECTED
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 la regulating construction or the
performance of construction.SEE, REVERSE SIDE FOR REQUIRED INSPECTIO S Plumbing
ga
DATE OF APPLICATION I--(�E�' C 7— SIGNATURE OF APPLICANT i ' A ti Mech. #te,`
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning 1/�5Yill ✓B r0 SEPA
p
_ U
Mobile Home L+UU
Fire Marshall1 __
Co. Engineer Other (Specify)
V f/ q
Utilities j j1 7 /�
V TOTAL $ L7s-�O
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
echnician PERMIT IS NONTRANSFERABLEORI -
0 `1 {1 �.-82 27,32 *18.00o- ►-
Building 'C.' ?‘'76 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL