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1982, 06-01 Permit: 82A-4420 Gas Piping
4 PLAN NUMBER APPLICATION/PERMIT 9/ PERMIT U9-ZL? SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES * * L [t O JOB ADDRESS 1 6 S9 0 B IsecoDwAy LEGAL DESCRIPTION — SEE ATTACHED * 2!i C C LOT BLOCK SUBDIVISIO PARCEL NUMBER/S G. 4 1.q;- 2. OWNER PHONE 0 6- 0 1 -T 2 C 3. fr- BgoithwAy 255T-Ata-Am- : 6. 4 7 c ADDRESSn� {{"� Ay ZIP Actual Set Backs in Feet & 59 ob rpAb v.)fY North 'South East West CONTRACTOR // PHONE Size of Parcel Zone Classification L(^.k.eA.(e C � 534 -oSoz 4' ADDRESS/--- ZIP Type Const. Occupancy Sprinklered G 59 10 �f©Ab :,JA / Oyes ❑No ❑ Req'd. DESIGNER j 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. TYPE No.Baths No. Stories No. Rooms No. of Dwellings NEW ❑ ALT. ❑ A ❑ RPL. ❑ MVE. 7, OF 0 OTHER - Req'd. Rec'd. Not Req'd. WORK 0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE of EXEMPTION DESCRIBE WORKEnum. Dist. Location (Area) ' 8. NAT, CSA �..EtIl• (2- --- gO` 1 t IYq _7( FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public 0 Private 0 -- 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION SIGNATURE OF APPLICANT Mech. sr'ECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Hep!th Planning �. tplv&. U� (0gWO . C2 jrr&( T�f 2,00 SEPA - / ��Z L t rt.erS e".0 ( (Z cO w Fire Marshall Mobile Home —I tr. Co. Engineer it cj' Other (Specify) Utilities �r TOTAL $ —�—t�' Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Building iar cian PERMIT IS NONTRANSFERABLE 'U'6 ,T-8.2' 4'42.0g * 24.002,g- : — li PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK N S E W FINAL INSPECTION:) SET BACKS DATE REMARKS: Ci*l� �re '4 y,n, _- y ln� APPLICATION/PERMIT a 11 �L•5.r5,,,,aEm SPOKANE COUNTY—BUILDING CODES DEPARTMENT U /9Z A,O�IERZp NORTH S11 PEPEEASON/SPOKANE,W•SINGTON PIM/15091.x301,6 APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES 3011•ooncss /�qq,, LEGAL DESCRIPTION-SEE ATTACHED I. Lor FEw 9IQJe6r.OPeRnADWAy .AncEL Npn5,Em5: I-.. OWNER 50055E - i- < .a a,.E !sp. _ - •s EEI. Actual s5 5n E.0 AcORESS or n 591 CONTRACTOR T c4se,4P Uoc. - noli i 534_-05.-2..._iMORE 5••'ro.r<.I :,n.EI.WN�ISn.. E' ESS TIM*Censi. Ot<ue.n<v Sp H5H Echo /�-tO.I,toJAy 505 II ON,`O Regis. ..en win. rhe M Ea FL orm � E (, .. team woo n_. n.r5CHNGDE AoM ITO � ChK0 . eete, �nria..w em a Nn.Aum. I Na.SIP. il NA.Room < .011n ,O... O.l. D 0909O.R.E. O OTHER7• 0aa.LN. a, D IOW O POOL CERTIFICATE AN, I A Co WA e. wORA 5. EpSEMVTOON DESa NAT-. E WORN E I 015.5% .. Ila<.no"lA"'I FEES COLL ECTED vAL •ION S SCE OAS p ELECTRIC WAVE, SEWER thsper.th, USE CODE g. UTI IES _p.M0 Wooer.O S:.qH S 1 hereby certify that I have reed and teamined RIR application and hast read 11M"NOTICE"provisions inClodad on eeeee e sede,and know 0.e same to be true and Comet All provisions of lewd and ordinance.goyerrrirg this . Mptoi work will be complied with whether specified herein w not.The granting of a permit does not presume ..Adiry 1 to girt.UR.aity to sedate m na _1 Me wouesiam OS any oder Masa or local law regulating constr.ction or the ' pe.formalce of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Numbing DATE Of APPLICATION SIGNATURE OF APPLICANT aMsn . .� SPECIAL AP.RDVALS SPECIAL CONDITION& NAME DATE \ �J` pen laeca Ins.num, (��pj( /.7 r 1 IZ.00 (EPA ..nn.n. Cys ei000K EE. (2 acnrNg! Te) 2.00 wf Z LLAErai j a.) f o<Co Nob.Ilam. TS,.M....1. ne .iyE{•I)`f" Eo.EDIM.(Specify, 2'I • — Waite. TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE.