1982, 01-18 Permit: 82A-364 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBE
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �('/�J OM" ��
(21
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS r. LEGAL DECCRIPTION — SEE ATTACHED
1. e, /i.3 / /y A
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0 [) * * 1 9.0 0
2. * 1 °.0 0
OWNER PHONE
3. S. ileaII,,4 e f/,ex_4.,,,-y 4s ? A(-r ' r * 1 9, 00
ADDRESSerl / ZIP Actual Set Backs in Feet
/13? / // y'90Z11 {o North ISouth East 'West A * 0: 0 0 c'
CONTRACTOR PHONE Size of Parcel Zone Classification 6 3
4. g.
/9 t Qct, G i4.., ,-/r o (fire, i---c 5',34 t. "a1/da
ADDRESS / ZIPType Const. Occupancy Sprinklered 0 1 - 1 8-8 2
/ /a 7/CJ I u, 4, .9791 /f ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 6 4 7 9.
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 ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF ❑ OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. C1 POOL
of EXEMPTION
DESCRIBE WORK / Enum.Dist. Location (Area)
8. 4,-•.5,10't/1 /k t'' !/.dr+ . z',� O/ :(/y vrr t 1 ` >le''IL
f�• it'
I FEES COLLECTED
VALUATION SOURCE �AS ELECTRIC WATERY•! 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 construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
/'3 ���- t./e/
/ _
DATE OF APPLICATION SIGNATURE OF APPLICANT �i Mech. la,
SPECIAL APPROVALS SPECIAL CONDITIONS: 5 .7"11ei
NAME DATE !i Plan'Check
Env. Health 5 sLL-yt r k e"/ (/ ✓"+/ f "
�J r SEPA n
�,
Planning L/ ✓f/✓! e-it-, T7�/'^ c)
,J
Mobile Home "_
Fire Marshall
Co. Engineer Other (Specify)
Utilities TOTAL $ �7GU
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Builds Tech n PERMIT IS NONTRANSFERABLE ',.' `8._ 3 6' 4 z *1 9.0 0 a _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1