1982, 03-01 Permit: 82A-1358 Plumbing Fixtures PLAN NUMBER APPLICATICi*, ..J .." idRMIT PERMIT NUMBERc/
r
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 452,0 - 1 512'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /1 o.,1 y. c.) LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 1 7. 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 0 0
2.
OW $R P ONE * 1 7, 006
3. -d..Y7 p I e r c._ c.. 1.2.;-City‘' A * 0.0 0
ADDRESS
IP Actual Set Backs in Feet
��
//6 �� North (south East IWest 1 3 5 7 L.9
CONTRACTOR _ _ P ONE Size of Parcel Zone Classification
a. T. /e,vp✓ISec -Zekk el -te'`fL 0 3 0 1 -8 2
ADDRESS/- /� / IZI L�Gr Type Const. Occupancy Sprinklered 6 It 7 9,
//LS L' ii[ ! . ❑Yes ❑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 ❑ NEW WALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK 3 - Enum. Dist. (Location (Area)8. FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. liTILIT IES Public ❑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 ordin st governing`.his Building
type of work will be complied with whether specified herein or not. The granting of a pe it does not . • e
to give authority to violate or cancel the provisions of any other state or local law regula mg c slructi.n or th4
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 12.et
DATE OF APPLICATION 2A 76 _ _ SIGNATURE OF APPLICANT ( Mech-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
) 5/ t e 1,"" SEPA
0
Planning d 0
Fire Marshall _
/....._ y Mobile Home
- �
Co. Engineer Other(S ecify) J' el`-')
Utilities
TOTAL $ C_
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.. 'echn,cian c PERMIT IS NONTRANSFERABLE 0 �t0 1, 88,2
1358 z *17,0.0 -
L` 'do. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED . PERMIT NO. TOTAL