1982, 06-01 Permit: 82A-4410 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
• SPOKANE COUNTY — LUILOING CODES DEPARTMENT f 8z4 �i/ieI
, ... .....471 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRE S
1. C //5f /421C LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER �if5C t
3. V PHONE
41,00
ADDRESS ZIP Actual Set Backs in Feet 0 3
North (South East (West * 4 1,
CO RACTOR PHONE Size of Parcel Zone Classification
4.
,t"40 s04` Accq/1rIto*47 .....41)C.- Y y'..� * 4 1,0 0
gI� cup Z Type Const. Occupancy Sprinklered ElADpJ Ryttot
�si— ❑Yes ❑No Req'd. A * 0 0 0 S
DESIGNER/ PHONE Valuation Building Area in Sq. Ft. 4 4 ` 9 c
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 0 6—0 1 —8 2 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement i; 6 4 7 9.
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW D ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 0 OTHER -
WORK 0 BLD. IILPLMB. ❑ MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) t
8. / Gi4,r. rf 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 regulatin construction or the vet,
performance of construction.`SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 77
DATE OF APPLICATION `� ��� 2,— SIGNATURE OF APPLICANT Mech. A•
•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health C2 CL1 d
/_„Q 41,14)5 SEPA --
Planning A ,SCAOK. Cy
Fire Marshall f ;i = Mobile Home w
.._I
wee, W
Co. Engineer t P..)4•60/cot Other(Specify)
Utilities , tug rttl.-
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 �01-8 2( 4'14.10 z *4 L O O a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL