1982, 09-01 Permit: 82A-7728 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT f!3,-z_ .V
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
•
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB AD RE5 6/ // M
5 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S n
2. * 69. 00
OWNER PHONE
A .. * c _; 0
3.
ADDRESS ZIP Actual Set Backs in Feet 7 7 L.9 Lc.
North 'South East West
CON frr �7 / PHONEertil �j Size of Parcel Zone Classification 0 — 0'1 i 8 2
4' ADp`RESS.—, �fAl_ ') ,y ! ZIP G; �j Type Const. Occupancy Sprinklered � �`
eJ - ✓ 76, NPs /�v4, Dyes LINo ❑ Req'd.
DE !'�71 /` PHONE ����� Valuation Building Area in Sq. Ft.
5' AD `_ESS/, �� / ZIP Main Floor Upper Floors Garage Area Storage —
r OC 1 7(� Z Z6
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK 0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) ' FEES COLLECTED
8. l Lit1�'1� iq atR5 - lip lVALUATION SOURCE GAS ELECTRIC WAER 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
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 re.. .ting construction or the
performance of construction.SEE EV RSE SIDE FOR REQUIRED INSPECTIONS/ Plumbing
DATE OF APPLICATION 3 I t2,- SIGNATURE OF APPLICANT I ', /// Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEPlan Check
Env. Health ` u) Lt6.° ti/140'
(. IJ� SEPA z.
Planning �/ c_j
Fire Marshall (`at, ""1 ( �(�l{,L(�/t-};j �, Mobile Home ,
1
111
Co. Engineer lett. Other (Specify)
Utilities (`^t / 1
•�LIVh� TOTAL $ 1D?
Plans Examiner
t`* 1(-4"
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist t ' THIS BECOMES A PERMIT.
3ding chni)an �
1 � 4��net^� PERMIT IS NONTRANSFERABLE 0'9.`-:`01.-8 2 7 7 30 z * 6 9.0 0 2 P -
� y 0 C' /�C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL