1982, 11-15 Permit: 82B-0993 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY -- BU'LDING CODES DEPARTMENT �C1
C / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
y APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. 15311 1" LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 9 * Ye it 5 Q U
OWNER PHONE
3.
.1 .4.) 4�tVK— * 4FC0Y
ADDRESS ZIP Actual Set Backs in Feet / C) 7
North !SouthEast 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 9 Q.i
40 to 6 i-4-e /if E.e./F/FA)rc.a,-/ -11- __ 7..25'-3y,7J
-s?
4' ADDRES �s ZIP Type Const. Occupancy Sprinklered 1 I 6_
/-7�3 ��/� �s� /1 /C ❑Yes ❑No ❑ Req'd. _ 4 7 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.
TYPE No. Baths No. Stories No. Rooms 'No. of Dwellings
p–NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF 0 BLD. 31...f LMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE - Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) '
8. 7D Et-lrcTva-sl FEES COLLECTED
I
VALUATION
SOURCE GAS 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 ,i _
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 �c1�r, a__
performanceof construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing <
DATE OF APPLICATION j`E— ,5 ^g Z-- SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health We.
,.2... /349-6/�S SEPA a
Planning O
1 Tc0 _
Fire Marshall ti 6 C Mobile Home
_
Co. Engineer [? '61A?t.. Other (Specify)
Utilities / 4)4"1471- 5��
F-6 TOTAL $
Plans Examiner /
W4 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ing e hnician / PERMIT IS NONTRANSFERABLE Liit-1 5 -8 2 9 9,3 z *4 5, 0 0.a g -
9-`��
��(�/ *7`7r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL