1982, 05-17 Permit: 82A-3809 Plumbing Fixtures PLAN NUMBERPERMIT NUMBER
APPLICATION/PERMITfli
SPOKANE COUNTY - $UING CODES DEPARTMENT p
' '3 ak
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
-7,--6, ,
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB qR �S..� � � LEGAL DESCRIPTION - SEE ATTACHED
1. ( ad
OT (BLOCK SUBDIVISION PARCEL NUMBER/S 0 3 * *,{�,8 0 0
2 0 P ,( *68.00 N
3. � 71 / %i� 4-akr38 * 65,006
sifvt 4.4 0 �vae- Actual Set Backs in Feet
North 'South East 'West
TOR ONE Size of Parcel Zone Classification
t �� /� y / Type Const. Occupancy Sprinklered
U "J(�/ ❑Yes ❑No ❑ Req'd.
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 0 3 * * 6 5.0 0
6. * 65, 00
,��c /� No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
Cl-K6W D ALT. 0 AD'N. 0 RPL. 0 MVE. * 6 5.0 0 6
7, OF 0 OTHER -
CERTIFICATE
WORK ti-PCMB. 0 MECH. 0 M.H. 0 POOL Req'd. Recd. Not Req'd. * O' 0 0
of EXEMPTION
DE IBE RK / Enum.Dist. Location (Area)
8 `�� _i / Gk`�,,(g�; I FEES COLLECTED 3 O.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 0 5- 1 7-8 2
OF
9. UTILITIES Public ❑Private 0 Single $ z 6 Q 7 9.
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
give authority to violate or cancel the provisions of any other state or local law regulating construction or the ;�'
ormance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing �"
- _ 4- Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPE IAL CONDIT)ONS:
NAME DATE . - a7/yf_. Plan Check
Env. Health 1,/44./_,,g 4_
SEPA r
Planning / �>� CD
a
Mobile Home uu
Fire Marshall
Ye w
Co. Engineer /
a},4)g-e/2.,, Other (Specify)
Utilities /•-- / �
Plans Examiner Cel)
TOTAL �,
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE O. 'Hi�'.7--8'2 3 8 0.'9 z * 6 5.0 0 a F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL