1982, 09-20 Permit: 82A-8395 Sink PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBED
/2-2A- /
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
m NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
/V' { APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. ' l
Qc e;) -- Vai .-c) LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NltAtIBER/S. 0 3 * * 9,0 0
2. * 9. 008
OW . R PHONE
3. 6.4 CA-L(7 al di-4-AQ--e-r) }. 6100 CI A * 0,0 0 8
AD'RESS ZIP Actual Set Backs in Feet
4 . c_r Cs' V.- -i CI AJ '99Q0 ) North 'South East (West 8 3 9. z
CV TRACTOR PHONE yf,),7 Size of Parcel Zone Classification Q 9 2 0-8 2
t g.•//7 t)
4' A SSZ p Type Const. Occupancy Sprinklered z 6 4 7 9.
7c) 7 40.oZ -e.) ❑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 ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK 0 BLD. JAI PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/ of EXEMPTION _
DESCRIBE WORK LEnum.Dist. Location (Area)
8 //0 k,„ I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTI LOITIES 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. Thee nting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I. I law regulati construction or the cis
performance of construction,SEE/ REVERSE SIDE FOR REQUIRED INSP I► IONS Plumbing
DATE OF APPLICATION // JCS( SIGNATURE OF APPLI r , it2i „oyLA.AV/4ech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 74jA
NAME DATE Plan Check
Env. Health
SEPA >-
a_
Plann.�...
U
Mohile Home '`a
Fire Marshall
fr.
Co. Engineer Other(Specify)
Utilities TOTAL $ I
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildi • PERMIT IS NONTRANSFERABLE 0�"9 - 0:-8 2 8 3 9. 5 z * 9.0 0'a F!
�`� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL