1982, 08-30 Permit: 82A-7615 Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT I/ 0hA - -Rb( 6
elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. !' 47/1/ /3 IVa a. ','7/7 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL SUMBER/S
2. 0G. * * 12. 00
o\An\s7 hoyai ,
3.
A E3
ADDRESS `/ , �,, Jif ZIP Actual Set Backs in Feet * a. 0 0
Gi L /1 YW (J��/[�1# North 'South East IWesto
CO TRACTOR THIONE Size of Parcel Zone Classification 7 6 1. 4
4. .J 7i,,,i1-- le rte_./ 7`7- `/ _,5 ,6 0 -3 0-8 2
ADDRxSSf () to Type Const. Occupancy Sprinklered
(! 1 �S!lR � '7 ��cG ❑Yes ❑No ❑ Req'd. b.47 9,
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 ❑ NEW 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DES .l,E WrQRK / )7 ,
Enum. Dist. 'Location (Area) FEES COLLECTED
8. VA/LUT4-T'ION OUR AS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. /// UTILITIES Public ❑Private ❑ 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.tioSEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION` � Z._ SIGNATURE OF APPLICAN C�`�� � (. �i�‹'c/ Mech.
SPECIAL APPROVA S SPECIAL CONDITI NiS: ` " �////�
NAME DATE �' /4->';e1
�^ 1.( 1 Plan Check
Env. Health , - -Z----
� ��v� / b
SEPA >-
Planning OQ ✓/ / ./ / og �y4 / . --,--",-z.(--/-4
' '- • Mobile Home UwFire Marshall
J
Z,
rz
Co. Engineer 71.ceoc.... ---.
c7 �YOther(Specify)
Utilities e /�
/fiey A ,,,/// U �. TOTAL $ �-CJLJ
Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 1 .,1 /1•. THIS BECOMES A PERMIT.
echni i n PERMIT IS NONTRANSFERABLE Q 8.4 0`-8..2 7 6 1 5 2 *1 2,0 0 g.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL