1982, 11-09 Permit: 82B-776 Toilet PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '2-I, .--11 49
b NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS i
1 /------4/
4/L!41 Alak LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUM.g4ER/S
2. ,,
OWNER PF-IONE
/� i7 66- i
3. [ ' l.c �_ 1SZI L, 3 * * r,00
ADDRESS ZIP Actual Set Backs in Feet
/ --Ager( .
North (South East (West * 9, 0 C��"-,
gif,RACTO PH NFA .., Size of Parcel Zone Classification
R✓-- r�r,
1
-et_t__,,,, ki- 'r71
4. ADType Const. Occupancy Sprinklered c,7
�� �� dZ pj....>4)
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. + 1 e 0 9-°8 2
7()
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage F, ' _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ A ❑ AD'N. 0 RPL. ❑ MVE.
7 OTHER
WORK ❑ BLD. PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. ..1--4 t4q 1- . FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
OF � Public 0 Private ❑
9. UTILITIESSingle $
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 • a ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or lo,a law regulatin: construction or the L)
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEC"IONS Plumbing
/G) � AO
iL
DATE OF APPLICATION _ SIGNATURE OF APPLI ,A, e- ,•1 Z' ---/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE • Plan Check
Env. Health
SEPA oma..
Planning O
_ U
Mobile Home w
Fire Marshall --I
L
Co. Engineer Other(Specify)
Utilities 0,1 I,,)
TOTAL $ I�l
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ild-i e TIran ', a PERMIT IS NONTRANSFERABLE 1'1 I-0 9 j8 2 7,7,6 z *9. 0 0 a -
_A PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL