1982, 12-10 Permit: 82B-1843 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Job ADDRESSVLA LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S' `
2.
OWNER P ONE _
3.
ADrESS %
IP /f
Actual Set Backs in Feet
il� (its(
v
North South East
West
C NTR-�A/CTO
PHONE
Size of Parcel Zone Classification
j/
g C�
4. ADORES
ZIPType
Const.
Occupancy
Sprinklered
-
r«
❑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.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
%, OF�r
v
Elqs BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK . f '
vL 1 t 1 [� �i �� E;
Enum. Dist. Location (Area)
FEES COLLECTED
8. . G lC.-l,�/>P,y' `.
VA UATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
1UTILITIEOFS
Public ❑ 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
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
f Jqq ,
1
Mech.
DATE OF APPLICATION ! Il'— SIGNATURE OF APPLICANT -
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
lealth
Planning
Fire Marshall
Co. Engineer
ns txaminer
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ C Tod
PERMIT NUMBER
1 9.00
* 1 9.00,
A *0 _ q
1042=
j479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12 0-82 18432
DATE ISSUED PERMIT NO.
* 19.0,0 a -�J-. -
TOTAL
a
0
U
LLJ
J
t%