1982, 07-28 Permit: P82A-6539 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY BUDDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
//Sc2 c 1 a
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
ktAsc.o
�vcc.rJ £•0S
PHONE
PARCEL NUMBER/S
ADDRESS
ZI P
Actual Set Backs in Feet
North 'South East (West
4.
CONTRACTOR
PHONE
,35433
Size of Parcel Zone Classification
ADD SS
z 2/
Type Const.
Occupancy Sprinklered
Oyes No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
❑ BLD.PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
/15 Fisc 7-) r)
Enum. Dist.
ILocation (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATE R
SEWER
Ownership
Public D Private ❑
USE CODE
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
type of work will be complied with whether specified herein or not. The granting of a p- ••'t does not presume
to give authority to violate or cancel the provisions of any other state or local law regu .ting c. struction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
2
DATE OF APPLICATION
SIGNATURE OF APPLICANT /
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
a we
en-ses S
I 54 c
Tc -i5
6400 -t -
445I/ r
4;761.)
W61
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Ife.5722-1
p
PERMIT NUMBER
. A -(v557
03* *45,00
*45.006
A *0.00
653.8-'
07-28-82
2 '16479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-28-82 653.92
DATE ISSUED PERMIT NO.
*45.00a�
TOTAL