1982, 11-15 Permit: 82B-0995 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT c;101
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1 LOT BLOCK y BDI ISION /.2PARCEL NUMBER/S
2.
OWNER PHONE
3. .f'A-t) 4 e-.cr,c-- .
ADDRESS ZIP Actual Set Backs in Feet
North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
6;C.4 S£'� A're, sldiercft(. -R-,,_ 9-2-4A--,7v_-?.3-
4. ADDRES /��7 �,. ZI / Type Const. Occupancy Sprinklered
132 '3 F �c..L7Cd s'Aeikz"b
Oyes ❑No ❑ Req'd.
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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE Ft NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. C3-PCMB. CI MECH. 0 M.H. CI POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area) FEES COLLECTED
8. /4 ri)(77,e.4-5
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 _
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 Z
DATE OF APPLICATION ii--1,5-,16 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health 2'64-,t
as 64-6/I)J SEPA 'QT.
j
i
Planning 1 -Z-vi -
Fire Marshall 3�K/ Tit. Mobile Home -'
/ -rj.)�
Co. Engineer Other (Specify)
/ P-4s/f5.4.1.-
Utilities0
� TOTAL $ 5
Plans Examiner / W a
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. .
Building Tec ician PERMIT IS NONTRANSFERABLE 1'"1 11 5 -`8'2 9 9.5 z * 4 5. 0 0 ° H --
��4( °
/ J P e1I� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL