1982, 05-03 Permit App: 82A-3413 SprinklerPLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY -BUILDING CODES DEPARTMENT
A -3+I5
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe DDRESS Xb LEGAL DESCRIPTION — SEE ATTACHED
1. • //a2 -)-/ -1
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OvVNER
3. Do ^1 � � t c � i s')/V,�C J,e, PHP. 417S -
ADDRESS .r� / ZIP Actual Set Backs in Feet
1-7. � �.L-L � North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
P16,bk-uty Tv
❑Yes ❑No F-1Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRES ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE NEW ❑ALT. ❑ AD'N. El RPL. ❑ MVE.
No. Baths No. Stories No. Rooms No. of Dwellings
❑
% OF WORK El BLD. ❑ PLMB. ❑ MECH. ElM.H. El POOL OTHER CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK fEnum. Dist. Location (Area)-�FEES COLLECTED
VALUATION OURCE GAS ELECTRIC WATER SEWERship USE CODE
9. UTILOITIES ❑Private ❑ Single $
1 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 Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �Q, Plumbing
DATE OF APPLICATION�_tZ-_�L _ SIGNATURE OF APPLICANT/_!�sf / 1.�.t.4lW Mech.
SPECIAL APPROVAL SPECIAL CONDITIONS:
NAME DATE
anning
re Marsha
neer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $_
03* *9.00
*9.00 U
*9.001
A *0,00
341.22
05-03-82
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05-03-82' 34L3z
nATF ICSI IFn PGRRAIT nln
*900Oa -
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