1982, 07-01 Permit: 82A-5598 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT voPERMIT NUMBEglAk R��jj'
SPOKANE COUNTY — BUILDING CODES DEPARTMENT !,02-
e// NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JO(B1,ADDRESS'/✓y // A Cil LEGAL DESCRIPTION — SEE ATTACHED
1 03 * * 17.00
LOT BLOCK / SUBDIVISION PARCEL NUMBER/S * 17.006
2. A * 0.00
OWNER P ONE
1 o _, {-y( jt ��rv' l2,S'1ZS10 559.72
3• .ZIP Actual Set Backs in Feet
ADDRESS �r� 07 -01 —82
F,.. iSCa 4 1 .-� --� North (South East (West
f
CONTRACTOR , P ONE Size of Parcel Zone Classification 6479.
7rt*- E h°�,� vksus fc ci2 �--7e429-
4, ADDZJ,P�} Type Const. Occupancy Sprinklered
yR S r �t
L i ,,6 7 E , 7 / .A.L C 2- (? Dyes ❑No 0 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 LK NEW ALT. 0 AD'N. 0 RPL. ❑ MVE.
7• OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. APLMB. El MECH. 0 M.H. 0 POOL
of
EXEMPTION
DESCRIBE WORK Enum.Dist. I Location
(Area)
8. �/ (Tc) LS I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER 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 construc ' n or the � '� -00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS C Plumbing
DATE OF APPLICATION SY Z-- SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health4 ,,
1 `i SEPA
o..
O
�—
Planning — U
c-S t./r/
Mobile Home
Fire Marshall
n Y✓ ,)
�/ f
Co. Engineer .� �`,t /V—‘,/
P t�i>� ,/ Other(Specify) �`-
Utilities (�
�'" TOTAL $ .
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Builds • Tec.• Ian PERMIT IS NONTRANSFERABLE 0'!:-t.I-8 2 559.85 * l7.aua
-moo4gm '_.__` , PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL