1982, 08-03 Permit: 82A-6738 Plumbing FixturesPLAN NUMBER
TO
APPLICATION/PERMIT
Finished Basement
Unfin. Basement
6.
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
i
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
No. Rooms
JOB ADDRESS
TYPE NEW ❑ LT. El AD'N. El RPL. El MVE.
LEGAL DESCRIPTION - SEE ATTACHED
1.
ES , LO
c� o�
CERTIFICATE
Req'd.
Recd.
Not Req'c
❑ BLD. m PLMB. ❑ MECH. ❑ M.H. El
WORK
PARCEL NUMBER/S
2.
=BDIVISIONLOT
DESCRIBE WORK
Enum. Dist. Location (Area) FEES COLLECTED
8. -A- F \
OWNER
PHONE
SOURCE
GAS
CIAO
WATER
q�'33?.3
lOwnership
3
t�rx
/
I
I
ADDRESS
Single $
ZIP
Actual Set Backs in Feet
E . : 3�
,�(
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the 4-0L
Cl
North South East West
0,
CONTRACTOR
DATE OF APPLICATIO SIGNATURE OF APPLICAN
Mech.
PHONE
Size of Parcel
Zone Classification
Plan Check
8.G -,21P,(-
�F CSI G'cay.»Y.
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
No. Baths
No. Stories
No. Rooms
No. of Dwellinc
TYPE NEW ❑ LT. El AD'N. El RPL. El MVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'c
❑ BLD. m PLMB. ❑ MECH. ❑ M.H. El
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area) FEES COLLECTED
8. -A- F \
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
lOwnership
USE CODE
9.
UTILOITIES
I
I
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
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 4-0L
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing .or.--
0,
DATE OF APPLICATIO SIGNATURE OF APPLICAN
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
'CO%L't
NAMED 'F-
ATE N
Plan Check
Env. Health Ir 15 V-0—keil-
Planning 1 StN
i kt-r S:►�%�
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTA L $ Q`G)J
PERMIT NUMBER
P
SZ -Co-730
03* *21.00
*21.00
A *0.00 00
673.72
08-03-82
;E 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
673.825
DATE ISSUED PERMIT NO.
*21.00aF-
TOTAL