1982, 05-21, Permit: 82A-4020 ACPLAN NDM.ER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99360 / (609) 4663676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
JOB ADDRESS LEGAL DESCRIPTION —SEE ATTACHED
t. q22q N. (/I/OpDLAWN D•
3.
4.
PHONE
z
TYPE I�� ' No. Bath, NO, Stories I Na. Rooms Irvo, or uwen mgs
❑ NEW ❑ ALT. l eAWN. 11 RPL. 11MVE.
7, ❑
OF OTHER CERTIFICATE Reg'd. Recd. of Reg'a.
WORK BLD. C1PLMB. MECH. ❑ M.H. ❑POOL
of EXEMPTION
FEES COLLECTED
9. UTILITIES I I I Public ❑ Private ❑ 1 Single $
I hereby certify that I have read and examined this application and have read the "NO:permit
provisions included
on reverse side, and know the same to be true and correct. All provisions of laws anances governing this Building
type of work will be complied with whether specified herein or not. The granting of does not presumeto give authority to violate or cancel the provisions of any other state or local law regconstruction or the
performance of construction. SEE /REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing ^/'
DATE OF APPLICATION—�Tl '�lJy SIGNATURE OF APPLICANT Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
En, Health
SEPA
Planning
Mobile Home
Fire Marlhell
Co. Engineer Other (Specify)
Utllltlez /�QQ
TOTAL $
Plans Examiner
WHEN MACHINE VALIDA'
SEPA Checklist THIS BECOMES A PERMIT
PERMIT IS NONTRANSFERABLE 0512' P-8 Zl,
T� PF.wur avPIRFs nNF VFAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NUMBER
.a
04* •1400
*1400 N
*14006
A *Q00
401.9,S
05-21-82
z 6479.
t -
4020"JIB Daj�-
PERMIT NO. j TOTAL