1982, 11-15 Permit: 82B-1007 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT n PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
(/' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. .�DQ� V/r�,UiLEGAL DESCRIPTION — SEE ATTACHED r: 3 * * x 5 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 4 5 0 OY
2.
OWNER PHONE A * 0, )li S
3, dire 7-c-4)64.-- ears S (-
ADDRESS ZIP Actual Set Backs in Feet 1 0 �� 6 'J
North 'SouthEast (West 1 1 - 1 5-8 2
CONTRACTOR PHONE Size of Parcel Zone Classification
4 7 9,
4. ptb Sy 1 c, /elE•c_ed N then — 47•V 9,.3Y 6
ADDRESSZI G^7 Type Const. Occupancy Sprinklered
13 203 ,G,e rct G / DYes ❑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.
TYPE r� �� No. Baths No. Stories No. Rooms No. of Dwellings
e�,JVEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF El OTHER - .
WORK ❑ BLD. PI MB. 0 MECH. ❑ M.H. CI POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) ,
FEES COLLECTED
8. /D Ritwes5
VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE
Ownership
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 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 8--/s"----8-2-- SIGNATURE OF APPLICANT
( 7. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health a
9__�,4*/s5 SEPA
)
Planning 7„ze .)
- �
Fire Marshall 1 6 LGur4/ Mobile Home -I
Co. Engineer Other(Specify)
Utilities ( I:7,/'(,J '�(J5�
TOTAL $
Plans Examiner /, , 1 f' /1(
v WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
a; * 45.00 ° 1- -
Building Technician PERMIT' IS i,, "";TRANSFERABLE 1 1.�1 5�-8.2 1 Q Q,7 z
`"lC�N�
�� PERMIT EXPIRES ONE YEAR FRO 4 DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL