1982, 11-05 Permit: 82B-651 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — PI.IILDING CODES DEPARTMENT
rn NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L-1/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB A ESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK IbUBDIVISION V PARCEL NUMBER/S
OWNER PHONE
3. /
AD MRS �/) PQ ` � Actual Set Backs in Feet
L/v •�..,' / "� �+ North South East West
CON RACT R P N Size of Parcel Zone Classification
'P;,4(
4. AD ESS ZL2 Type Const. Occupancy Sprinklered
C ❑Yes [-]No ❑ Req'd.
DE GNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
s.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW El ALT. ❑ AD'N.OF RPL. ❑ MVE.
7 WORK ❑BLD. 1:1PLMB. X MECH. ElM.H. ❑POOL OTHER CERTIFICATE
Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WOR Enum. Dist. Location (Area)
8 <, yg FEES COLLECTED
VAILUATION SOURCE ELECTRI ATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES Single $
1 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 INSPECTIONS Plumbing
DATE OF APPLICATION
T ��� I- SIGNATURE OF APPLICANT = s �.Iv...� Mech. s
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS: V
�-c1 f j4c �� M = Ce r a 0
0/l5 CU7". - , 0.0
i
I'1,--I.JQ . o 10
/'- ✓"I /7—/' p oo
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
�ro
TOTAL $
PERMIT NUMBER
��]
4* ;k 24 Illi
X24 0
11-G5-82
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11�-05-82 65.125
*24.00aF-J- -