1982, 02-05 Permit App: 82A-848 Plumbing FixturesSPOKANE COUNW BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
J APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 11021 - 34th LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. Joseph M. Lamm 928-8288
ADDRESS ZIP Actual Set Backs in Feet
E. 11021 - 34th, Spokane, Wash. 99206 North south East West
CONTRA
CTOR PHONE Size of Parcel Zone Classification
4.
ADDRESS 1 er' s Plumbing 483-2025 ZIP Type Const. Occupancy Sprinklered
E. 623 Liberty, Spokane, Wash. 99207 ❑Yes ❑No ❑ Reg'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM 1T0
Area of Decks Finished Basement Unfin. Basement
6.
TYPE❑ NEW ALT. IX ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellings
� 'N.
7, OF Vy ❑ OTHER
WORK ❑ BLD. /Val PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. Plumbing Installation - SFR - Remodel/Addition
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES 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 24.00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 02-04-82 SIGNATURE OF APPLICANT Yt��1�QQu Mech.
SPECIAL APPROVALS j SPECIAL CONDITIONS:
Env. Health NAME DATE 6 Fixtures @ $4.00 ea. + $5.00 Permit Fee = $29.00
1) Basin, 1) Toilet, 1) Shower
Planning 1) Kitchen sink, 1) Laundry, 1) Water heater
Fire Marshall
(MEMO: General Contractor: Ray Siegel)
Co. Engineer
I
Utilities
Plans Examiner
SEPA Checklist
B 41diTechn,clan
r
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
03* *29,00
*29.00
*29.00"
A *000
84.7-5
02-05-82
6.479.
Mobile Home
Other (Specify) -5 . 00
Fee
TOTAL $ 29.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02,:05=82' 8482
DATE ISSUED PERMIT NO.
J
*29,0011°.
TOTAL