1982, 02-19 Permit: 82A-1131 Plumbing Fixtures (PLAN NUMBER
L APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT r .p..)3.11 - 113 \
jN NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
_ It'" APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ; 5-,
LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 8 1.0 0
1. .a7Er, �, I/41,. /t"f a,r'�p-,�' * 81,00
LOT BLOCK SUB !VISION PARCEL NUMBER/S
2. * 81,006
OWNER s) PP.HO)NE /�
3. `�, � 0-,e)``1 /(Si � A * V.0 V U
ADDRESS;
FLIP Actual Set Backs in Feet r
C l l/� r �]�( dv f /�� North 'South East IWest 1 1 3.0 2
CO .RACTOR 11 PHONES�r . Size of Parcel Zone Classification 0 2 11 9—8 2
4. 1S I. ►/t e- (1;; '1-ty, 3 4'4
ADDRESS / ZIP Type Const. Occupancy Sprinklered 6 4 7 9,
/ ❑Yes ❑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.
�'( No. Baths No. Stories No. Rooms No. of Dwellings
TYPE `J' NEW Cl ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Dist. Location (Area) '
8. L _ lx-17
,x�. b ,fi i FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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 r glulating constr ction or the 1::<-)
performance of construction.SEE REVERSE IDE FOR REQUIRED INSPECTIO Hai
Plumbing
DATE OF APPLICATION �� SIGNATURE OF APPLICANT , ' -- _ - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /
NAME DATE Y"� f Y' Plan Check
Env. Health I"' g Alk kkk///
1�-�/ l ` (A2 SEPA
Planning / T•' I �� ��~ O
1" f) r ,gip — W
f>Cl/ Mobile Home --'
Fire Marshall Er
I '
CV C_Y'
Co. Engineer �� Other (Specify)
Utilities h Tray c
/ � ,�,a uA t-'r, f TOTAL $_____9C
Plans Examiner 6- L_ -yr
cN/ WHEN MACHINE VALIDATED IN THIS SPACE,
"'
SEPA Checklist / "' /o; /Cjf• THIS BECOMES A PERMIT.
i.
B - ing chnicianiaPERMIT IS NONTRANSFERABLE 0°21 ,.;11 Y
9'—'8 2' 1131 z * 8 1.0 0 a I--
�% ej(-' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL