1982, 05-13 Permit: 82A-3734 Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY = BOLDING CODES DEPARTMENT `:/ S 2' -'"- --7-34/1
01/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
IlJ•'! a
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
-i LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
ADDRESS ZIP Actual Set Backs in Feet
. 6. 1 . VT 1° GIG a./ North 'SouthEast (West 0 G. * * 1 8 0 0
CONTRACTOR PHONE Size of Parcel Zone Classification * 1 ci. 0 0
4. ADDRESS ZIP Type Const. Occupancy Sprinklered it 1 8 0 0 6
Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. A * U Q 0 CD
37332
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
05- 13-82
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
6479.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
4.NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF 1 0 OTHER
WORK
0 BLD. 0 PLMB. CJ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBEnWORK Enum.Dist. I Location (Area) '
8. �S 1 f:>`N is -,� oco-Ps c Lt$ c-r •�-4 c.� _ I FEES COLLECTED
G.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTI LITI ES 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 APPLICATIOl3 —S.z` SIGNATURE OF APPLICANT 4 n� Mech. Vt
Pd, 5:— tS•CZ)
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
r71_
Planning 0C�
Mobile Home w
Fire Marshall -"1
u..
Co. Engineer Other (Specify)
Utilities ,, \
TOTAL $ la,(SO
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE s *1 0.�.� d,
l p'+5' -.gig 2 3 ,7'3:4 z
9.0 9j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL