1982, 08-16 Permit: 82A-7151 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
iSPOKANE COUNTY — BUILDING CODES DEPARTMENT z P i)s )
0/// NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS O * * 1 3. O O
LEGAL DESCRIPTION - SEE ATTACHED
1. V 'S k b �s-r\A: Ei L41,3-E * 1 3.0 0 Y U
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 7 4F S-1- 5 —c.-z.:‘..1. ) A * C,0 0
OWNER PHONE 7 1 5.0 2
3 n
ADDRESS V\ ��V c\ 1��SC�Y1 �IP -
Go�� Actual Set Backs in Feet 0 6`8 2
S I s I 1-\vv("ta,91)4N-G 9 o North [South
East (West 2 6 4 7 9.
CO TRACTOR PHONE Size of Parcel Zone Classification
ALi( v` c- P c.v.I,,A I 7_7 _0\r-is-
4. ADDRESS A c.. ZIP �^ Type Const. Occupancy Sprinklered
T.0. 'E. 2'2_3 N vv.. .Vw 1.,0.i 91 Z3—2,- >
- ❑Yes El 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
NEW ❑ A ❑ AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER -
WORK Cl
0 BLD. 'PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORKEnum. Dist. I Location,jArea) ' FEES COLLECTED
8. ?i u civet)-t .— _Z 1t.4-,4 S
VALUATION SO RCE GAS ELECTRIC WATER SEWER
Ownership SE CODE
OF
9. UTILITIES Public 0 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
to give authority to violate or cancel the provisions of any other state or local law egulating construction or the i z
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO S I Plumbing R J '�'
DATE OF APPLICATION ,A f+ .rte✓ SIGNATURE OF APPLICA �,.J" � � "—`- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE N(� Plan Check
Env. Health 5 '�l-
4`v'� k VctA' %N- SEPA >-
0..
Planning C)
:J
Fire Marshall Mobile Home ..i
ii
Co. Engineer Other(Specify)
Utilities 2
TOTAL $ I J
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building ec nician PERMIT IS NONTRANSFERABLE 0:'8 -16 -i8 2 7 1 5,1 z * 1 3.0 0 a HJ-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL