1982, 11-15 Permit: 82B-1011 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT /I PERMIT NUMBER
/1J ' 101 1
SPOKANE COUNTY —BUILbING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
(p///
. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES _
JOB ADDRESS - fj `� * * 45 uV
1.
,/ �� � /�� LEGAL DESCRIPTION - SEE ATTACHED i; 0 Y
LOT BLOCK SUB IVISION PARCEL NUMBER/S A
2. 0 E
OWNER PHONE 1 0 1,Li
3. 4/194 E-/V-y/if-- ��tJ 17(—
ADDRESS ZIP Actual Set Backs in Feet i i r— C
North 'SouthEast 'West _ f.,4 7 G',
CONTRACTOR PHONE Size of Pa(cel Zone Classification
a. oLO s f-AL iaceWye<e-41i2 f�c_ %.79.-J -3
ADDRESS ZIP�' Type Const. Occupancy Sprinklered
3 p'
-a3 i- 2..-L.s-S-f f?i27C Oyes ❑No 0 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 El--NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF ,.�' L� ❑ OTHER
WORK
0 BLD. L MB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION -
DESCRIBE WORK Enum.Dist. I Location (Area) FEES COLLECTED
8. /O F4c-rirt s
VALUATION SOURCE GAS ELECTRIC WATER SEWER I -
OF Ownership USE CODE
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 regulating construction or the *- -
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION II —45'8
SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health W
a /344 45', SEPA n_
Planning {"-�
I re-1 -
Fire Marshall I Gdt.Lti Mobile Home ,i
,
lL
Co. Engineer ( ���
� Other(Specify)
14145614-rt-
Utilities
# 6 I ",Utilities / U S.
TOTAL $
Plans Examiner I
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 11. �1 5 —8}2 1 0 1, 1 z *4 5, 0 n. I- _
\...._./ / / PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL