1982, 02-18 Permit: 82A-1102 Mechanical Fixtures`LAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH Bit JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3,COPIES
Ji%A'Ou°11
R" J i / i _ _ESS LEGAL DESCRIPTION - SEE ATTACHED
3.
4.
FIr,
Dyes ❑No ❑
1 vve ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7 El OTHER
WORK C1BLD. ❑ Pi L1MECH. 11M.H. 11POOL
f 1
f // /tA/OA /-/&/ ,/W on (Areal FEES COLLECTED
u ca i
PERMIT NUMBER
ly
$7/{ llbz
04+ 1900
1900
+19.006
A +0.00
019
02-18-82
:ii 6479.
D.
UTILITIES I
I
I
IPulalle ❑Private ❑
Single $
1 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
Numbing
DATE OF APPLICATION +2-'�''E r1 SIGNATURE OF APPLICANT
Mach.'_
SPECIAL APPROVALS
SPECIAL CONDITIONS:
^a�/��',��
NAME DATE
ti �rLP Qv(M�Y it
✓ / s�J�Vr
Plan Check
Env. Health
/ ' AMP.tJ 7,11
SEPA
Planning
Mobile Home
Fire Marshall
Other(SPacifY)
Co. Engineer
TOTAL $ 19"OO
utilities
PlansEvamiu-
WHEN MACHINE VALIDATED IN THIS SPACE,
TEPA Checklist
THIS BECOMES A PERMIT.
w1 8 r, 2, 1 I O.2
wl c la
PERMIT IS NONTRANSFERABLE
Q'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO.
TOTAL