1982, 10-08 Permit: 82A-9257 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
I SPOKANE COUNTY BUILDING CODES DEPARTMENT e"..3-476•
y rp r? 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
(V�l LEGAL DESCRIPTION — SEE ATTACHED
1 LOOT t BLOCKIVISION) ft���� PARCEL NUMBER/S
2.
OWNERPHONE
3. WI,. `OSBY A'A y
ADDRESS ZIP Actual Set Backs in Feet
North 'South East (West
L
C NTRACTOR PJ NE Size of Parcel Zone Classification
4. ON DlJ !�''',-Fs,SG `L 9A.(-wzi
DRESS �l[ Q j►��+Z �1 p'� Type Const. Occupancy Sprinklered ii v * * 2 9 0 0
f )/;513 p/ti,LL(/ 4. V19 4 D/`L/. 9-V3'/ ❑Yes ❑No ❑ Req'd.
DESIGNER / PHONE Valuation Building Area in Sq. Ft. * 2 0 0 c
5. a
�A 3 '2 l * 0 0 8
8
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
925. 6i_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6. 10- 05-82
TYPE �,�• No. Baths No. Stories No. Rooms No. of Dwellings --
6 4 7 o
1p NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7, OF ,/• ❑ OTHER
WORK
D BLD. IKPLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE W RK Enum. Dist. I Location (Area)s I FEES COLLECTED
8. [/� .
VALVA N SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public D 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, y� ,r� Plumbing
DATE OF APPLICATION Q .o �� SIGNATURE OF APPLICANT Qj41 "" '1"2 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE / e Plan Check
Env. Health /+ K/d. r
SEPA
Planning ' ` C)1 �,.4 8 _
Fire Marshall Mobile Home _I._ )ei-r-s-iivisi
ti
Co. Engineer Other(Specify)
i'l Lir
Utilities / __ , ,• .
1 f 4.01,7 TOTAL $
�
Plans Examiner w
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin -chn' is rte-- PERMIT IS NONTRANSFERABLE 1`0 ``0 8 7 8 2' 9 2 5, 7 z° * 2 9 0.0 a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL