1982, 11-12 Permit: 82B-0890 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BMLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
t. Yd�O S i1. I LEGAL DESCRIPTION -SEE ATTACHED
3.
4.
PHONE
Feet
Dyes []No ❑
TYPE
NEW El FIT. ❑ AWN. ❑ RPL. ❑ MVE.
No. Bates
No. stories
No. Rooms
No. of Dwelllnp
], OF ❑ OTHER
CERTIFICATE
Req'd
Rec'E.
Not geq'c
WORK El BLD. LK PCMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
Enum. Dht.
Location (Area)
FEESCOLLECTEO
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
DWnershlp
USE CODE
9.
UTILITIES
Public ❑Private ❑
Single $
hereby certify that have read and examined this application and have read the "NOTICE" ICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
Plumbing 414— --
DATE OF APPLICATION— 11-1" z SIGNATURE OF APPLICANT
Mecb.
e SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
r r✓�
SEPA
Planning
( 6Laleu't
Mobile Home
wre Marsnan
I Fa
15/.�t
Other Specify)
F. Engineer
r
o,,44Ar
Dnlitie�
TOTAL $
Plans Examiner
PERMIT IS NONTRANSFERABLE
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
1'1 —12 —8 2
SEPA Cne<kns[
B�imine Taco
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE 111111H
PE�RR.tT NNUMBER 0 C/o ca - c78c1
23* +4>OC
*4500
F •0'L
11-1c-32
479
•
89.0 *45,00aJ -