1982, 01-26 Permit: P82A-734 Plumbing FixturesAPPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT
2.
BLOCK
SUBDIVISIONr- 176
LEGAL DESCRIPTION - SEE ATTACHED
3.
OWNER R
ADDRESS
/06/2 L1 1'69,
CONT CTOR
4. ► vk,.r C; Ply M
jSS
o C
DESIGNER
5' ADDRESS
/��
P ON
a�ty�
at%
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East 'West
PHONE
Size of Parcel 1 Zone Classification
PHONE
Type Const.
Occupancy
Sprinklered
DYes ❑No ❑ Req'd.
Valuation 1 Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
Area of Decks
Finished Basement
Unfin_ Basement
NEW
❑ BLD.
❑ ALT. ❑ AD'N.
L PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No, of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
X
14
ELECTRIC WATER
SEWER
Enum. Dist.
Ownership
Public ❑ Private ❑
Location (Area)
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 permit does not presume
to give authority to violate or cancel the provisions of any other state or local law reg lating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION ► / / . SIGNATURE OF APPLICANT
4.
7:441.0-
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
1�Y+1�jn 4v_1
9
SPECIAL CONDITIONS:
l�
I
L
I
/ J./ 133 tIIT IS NONTRANSFERABLE
PFRMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE OATF ISSIIFF) PFRMIT NO TOTAI
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
f
PERMIT NUMBER
03* *61.00
* 61.00
* 61,006
A *000 8
73.38
02-01-82
g 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02'-01'-'82` 73,42 *61,0021-2