1982, 02-03 Permit: M82A-777 Mechanical FixturesPLAN NUMBER
APPLICATION/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
2.
3
LOT
OWNE
BLOCK
V'i // c /
SUBDIVISION
ADDRE S
� (4 / VC
CONTRA TO
4. a,►. `"`-.�
ADDR V 70
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
z9 ce
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East (West
PHONE
._-S
Size of Parcel 1 Zone Classification
Z 14
Type Const.
Occupancy
Sprinklered
Dyes ENo ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation (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
i
NEW ❑ ALT.�❑I AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. 4.Y MECH. ❑ M.H. ❑ POOL
DESCRI E WORK
8. , c.�.a
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
XX
i
WATER
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
Req'd.
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 regulating construction or the
performance of construction. SE/1E REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. / T 0-0
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ / Y
PERMIT NUMBER
gAA--177
04*
A
* 1 4,00
* 14.00
* 1 4,006
*0,00 U
77.68
02-03-82
T2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
. + r
02-03-82
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77.72 *1400°
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