1982, 11-12 Permit: 82B-0886 Plumbing Fixtures (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
Im SPOKANE COUNTY — BUILDING CODES DEPARTMENT ~C,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. v5C9 `/f
J Uv/vrL5/17 LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION • PARCEL NUMBER/S
2.
OWNER PHONE
a 411014 tyn C-0v5A-
ADDRESS ZIP Actual Set Backs in Feet { t Li. 0North 'South East (West
CONT RC ACI;OR PHONE Size of Parcel Zone Classification * to C 0 0
5-filik.--' itCeViii,ete-034-7 .pie- 91024/-1/474/03,3
4. ADDRESSZIP '// Type Const. Occupancy Sprinklered r.n * i CO
/30103 r c,7 i9-2/L ❑ ❑No ❑ Req'd.
Yes
{ L,
DESIGNER PHONE Valuation Building Area in Sq. Ft.
e 2
5. 1 I — i c—�cn� �. _
ADDRESS ZIP Main Floor Upper Floors Garage Area Storag
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE I� NEW El ALT. 0 AD'N. 1:1 RPL. 0 MVE.
7, OF IC_
0 OTHER
WORK 0 BLD. LIKPLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ',CAC
Enum. Dist. Location (Area)
8. ,/D CACriwsrs 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 law regulating construction or the
____ __4:11
performance
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health awe.
..,igrf6/of SEPA `�
Planningr__)/ 7-4.-___4 - ,A
Fire Marshall f 5 4.404trf Mobile Home .?
IL
s/
Co. Engineer 1 Other(Specify)
i F'O
Utilities / 4..4( ,,t�.�`
�Ag�Za TOTAL $ /d
Plans Examiner j
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE f86 8 8,'6.z * 4 S. O a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL