1982, 01-26 Permit: 82A-632 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT p PERMIT NUMBER
ppp^^^((( SPOKANE COUNTY - BUILDING CODES DEPARTMENT &P 0 �032--
�/ NORTH 811 JEFFERSON / SPOKANE,1VSHINTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRES * �'
f i iG 'fl--[ LEGAL DESCRIPTION - SEE ATTACHED
1. Fes- 1
LOT BLO K SUBDIVISION PARCEL NUMBER/S
2. * 4 1,c0c,
OWNER RHONE0
3.
0014 IJ c I cK( 12-C-''&4-e( �. * (�. i; C
ADD ESS �LJQ ✓� Actual Set Backs in Feet 6 ;;, 1 =`
V: •
I�O• °� l S r ✓ I✓ North (South East 'West 1 —L/J—
COt�TRAC PHONE Size of Parcel Zone Classification
ADDRESS ZIP Type Const. Occupancy Sprinklered
DYes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
i
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
TYPE ( No.Baths No. Stories No. Rooms No. of Dwellings
LI NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHERReq'd. Recd. Not Req'd.
WORK
0 BLD. PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION _
DESCRIBE WORKr�� Enum. Dist. I Location (Area)
8. cel -r4v-- FEES COLLECTED
l
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 regulating cons ction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ,' — Z t`( SIGNATURE OF APPLICANT] Mech.
SPECIAL APPROVALS SPECIAL C NDITIONS:
NAME DATE Plan Check
LAL
Env. Health G.
SEPA "O)
Planning 1 1 A. �.. �i7..0 C)
-
Fire Marshall I } '1'' GjI KIK Mobile Home ��
I ' / 1
Co. Engineer [ iIr,,L. Other (Specify)
'v
Utilities I l'' l'F'r. TOTAL $ 1
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ciao Tec AL n F PERMIT IS NONTRANSFERABLE —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATOE ISSUED 8 2` PERMIT 43.2 Z *4 1 ii14$