1982, 09-20 Permit: 82A-8382 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS & LEGAL DESCRIPTION — SEE ATTACHED
1. .3/� a�
LOT BLOCK ISUBDIVISION I PARCEL NUMBER/S
2.
OWNER
3.
ADDRESS
CONTgA 7
4. A 1
DESIGNER
5. ADDRESS
v
L
PHONE
ZIPActual Set Backs in Feet
North South East West
P t7 Size of Parcel Zone Classification
Z Type Const,T-7Ec�y Sprinklered
[--]yes❑No 1-1 Req'd.
PHONE Valuation Building Area in Sq. Ft.
ZIP I Main Floor I Upper Floors I Garage Area I Storage
CHANGE OF USE FROM ITO ' Area of Decks I Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
1yNEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF .�/ dSEWER
WORK rkBLD. i6 PLMB. ❑ MECH. ❑ M.H. ❑ POOLCERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE RK / /G Enum. Dist. Location (Area)
$ FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER Ownership USE CODE
OF
9. UTILITIES Public El 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
DATE OF APPLICATION" Z SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
inning
re Marshall
). Engineer
:ilities
ans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
I57 -A -8Iz-
0
3 *49.00
*49.00
A *0,00 0
838.1
09-20-82
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-x`20-82 838.22
DATE ISSUED PERMIT NO.
*4.9.008
TOTAL