1982, 04-26 Permit: 82A-3147 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `�2-../4- 314 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Ar
JOB ADDRESS/ , O LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 1 3 0 0
1. E. 10.608 - 17th * 1 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 13006
OWNER PHONE
s Glen A. Cl oni nger 455-8262 A * 0. 0 0 F
ADDRESS ZIP Actual Set Backs in Feet
S. 3434 Jefferson, Spokane, Wash. 99203 North 'South East (West 3 1 4. 6
CONTRACTOR PHONE Size of Parcel Zone Classification 0 4-2 6- 8 2
Miller' s Plumbing 483-2025
4. ADDRESS ZIP Type Const. Occupancy Sprinklered o 6 4 7 9.
E. 623 Liberty, Spokane, Wash. 99207 Oyes ❑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 yy❑,, ALT. In AD'N. ❑ RPL. 0 MVE.
7 WORK ❑ BLD. X] PLMB. 0 MECH. 0 M.H. ❑ POOL 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) FEES COLLECTED
8. Plumbing Installation - Remodel Addition - Duplex I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES 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 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 8.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
,
DATE OF APPLICATION 04-23-82 SIGNATURE OF APPLICANT `, , —j:�. /i( * 161 ". Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 2 Fixtures @ $4.00 ea. + $5.00 Permit Fee = $13.00 Plan Check
Env. Health
1) Laundry tray, 1) Floor drain. SEPA -__
Planning r j
Fire Marshall (Memo: General Contractor: Bill Collier 924-6273) Mobile Home — '
—
Co. Engineer Other(SSpecify) 5.00
Utilities TOTAL $ 13.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
-
,moi►, PERMIT IS NONTRANSFERABLE 0.4 6'-'8 2 51.43 z * 15.0 0 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL