1982, 11-03 Permit: 82B-0498 Mechanical Fixtures [PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT71///i '-j--
''-- '2g,
,_,401 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS/ LEGAL DESCRIPTION - SEE ATTACHED
1. grit-tLCAi, br"y4 41 11,4,1 G,,T �t!1
LOT BLOCK SUBDIVISION (/ PARCEL NUMBER/S
2. 04. * * 24, 00
OWNER/ ��ryPHONE
. * 2 4,0 0 c
3. t:'-3.,4 t.try C', t
ADDRESS i' ��_ ZIP Actual Set Backs in Feet A * U. 0 0 S
North 'South East 'West
CONTRACT° z //> PHONE Size of Parcel Zone Classification 4 9,7 0
4. ',1/ ' 3. ,g1; 72k--#43i 1 1 - 03-82
ADDRESS z {�� ZIP Type Const. Occupancy Sprinklered
o, e , � 3 6 7 J 91 & 7 ❑Yes ❑No ❑ Req'd. 2 6,4 7 9,
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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
KNEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF WORK 0 BLD. 0 PLMB. 14 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) t
8. 4-QAi tee. v 1j . FEES COLLECTED
VALUATION S JRCE GAS ( ELECTRIC 7� WATER SEWER
Ownership USE CODE
OF
9. UTILITIES X 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
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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION_11 2-- SIGNATURE OF APPLICANT sa�;Ya�C Mech. .if
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE - Plan Check
Env. Health / ti L�'.L2_'- .-.1'"-�'�-t-.s. .30 PI--
�P//
/ (v SEPA rr
Planning C":7
Fire Marshall 2- Mobile Home __.!
Co. Engineer i if Other (Specify)
Utilities .
440_a �
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
di Te _nic j n a PERMIT IS NONTRANSFERABLE 111 I_0 3 -8"2 4 n o
�`""-"� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT N0.9 8 z *2 4 �0 All-H'