1982, 11-15 Permit: 82B-1003 Plumbing Fixtures PLAN NUMBER ^
APPLICATION/PERMITPERMIT NUMBER
.Sse.,
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
—144— APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 34)`/ S Vie.4i4)/A LEGAL DESCRIPTION — SEE ATTACHED • 0 * * 4 5 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * L 5,0 0
2 OWNER , P
HONE P, * G'.
3. /At4clo /* 21b4
ADDRESS / IP Actual Set Backs in Feet I 0
North 'SouthEast IWest 1 1 -- 1 5—8 2
CONTRACTOR PHONE Size of Parcel Zone Classification
60 t 5 S.t-c, +ce y 03 v i e-467 -Pdc_ y�f sy 3 6 4 7 Q:
4- ADDRESS ZIP f Type Const. Occupancy Sprinklered
3. .c,,,3r 7 �`Gp-ff :9: t Oyes ❑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 MEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. �PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION •
DESCRIBE WORK Enum.Dist. I Location (Area) '
8. FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
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 11
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS '\ Plumbing <<
DATE OF APPLICATION /1"-/C---6 Z- SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health c2we
p SEPA 0
Planning r .8 4,S/r5 r j
G rvg — w
Fire Marshall Mobile Home --I
1ev
Co. Engineer / 6 60(( Other(Specify)
Utilities / I24 4N &
Plans Examiner
1 1
TOTAL $ /`
14, WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
t
THIS BECOMES A PERMIT.
ding Te "cia f PERMIT IS NONTRANSFERABLE 11. '- 5-8-2 1 0 0. 3 z * 4 5. 0 0 2 Pi PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL