1982, 07-26 Permit: 82A-6375 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — aUILI ZING CODES DEPARTMENT s� -62.5-7 ---
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
. ex)
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. I,}, `�A1 \)k -t-.1:\ 03 * * 1 7.00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 7.O 0
2.
OWNER PHONE A * 0 0 0 O
ADDRESS ZIP Actual
ds• Actual Set Backs in Feet 6 3 7.4 2
22 J ���- �i• , CI`A2North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 7-2 6-8 2
2 64 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
'4=i1.. 6. El yes ❑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 0 NEW r ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF / ❑ OTHER
WORK
0 BLD. E 'PLMB. 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
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.SE• REVERSERSSIDE FOR REQUIRED INSPECTIONS Plumbing 43.
DATE OF APPLICATI01 -4,/,-4,/, ,
I . _ _ l / f 1 •F APPLICANT)) .. i Mech.
SPECIAL APPROVALS SPECIAL • DITIONS:
NAME DATE I --rot(...:6-r Plan Check
Env. Health ( C...A V
ee '' i SEPA a
't
Planning k -tZC7 (4T O
_ v
Fire Marshall Mobile Home J
I
Co. Engineer Other (Specify)
Utilities 1+7 a,
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B •din Techniclar PERMIT IS NONTRANSFERABLEQ.�' .` 67 k°2, 6 37.5 z *17 aF
9- /- J PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL