1982, 11-18 Permit: 82B-1173 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY �70 g,z_ - 1 17
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 Z
al ,.5COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES * i (!
•
• STREET ADDRESS PARCEL NO. C i _-
1. • 00"7 \A i, ' 1k IA c.cx11:z,-r-
LOT BLOCK SUBDIVIS ON LEGAL DESCRIPTION:
2. 1 1 `i c'
OWNER PHONE PHONE
3. '1 ' '-rte ini 1 L L iA 1`' 9 -I Cvid 1 1 1 --}; 2
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
Kt 11��I IJ Ilk 1. 7 r
• cd� ��' V � C�• North South East �West )
CONTRACTOR II LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
4. '"r. `J _ t3- -1V-( '`-I -'(7_ 92J_ '04:2 Commercial❑
l
ADDRESS O C: l Zc ZIP9 o Type Const. Occupancy Sprinklered
r�,'.� ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5.
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. PKPLMB. ❑ MECH. CIM.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No Number
or Variance Received Yes❑ No❑
DESCRIBE WORK I I Shorelines/Flood Hazard Plans Required❑
8. 1 ,LJ k/ i I1( 1 X'rll5,� Yes❑ Not Applic.❑ Received ❑
VALUATION SOOUF E GAS ELECTRIC PUBLICWATER❑ SE TIC❑ Ownership FEES COLLECTED
9 UTILITIES PRIVATE❑ SEWER 0 Public❑Private❑
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF O -1, . IA)A ' 13.-ri APPLICATION 11 } &�
OWNER OR AGENT :