1982, 01-07 Permit: 82A-0092 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUIL.DING-CODES DEPARTMENT
rNORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
J
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1
JOB
DDRESS -T14 LEGAL DESCRIPTION - SEE ATTACHED
10cy J ---,7 37
OWNER PHONE
3. , r -- C1 C' �a �J
ADDRESS ZIP � � Q � S ZIP �� � Actual Set Backs in Feet
Erd Ali North South East West
CONTRACT HONE Size of Parcel Zone Classification
Ilk
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑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.
No. Baths No. Stories No. Rooms No. of Dwelling
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. PLMB. ❑ MECH. ❑ M.H. ❑POOL CERTIFICATE Req'd. I Rec'd. Not Req'd
of EXEMPTION
DESCRIBE WORK II Enum. Dist. Location (Area) FEES COLLECTED
s. o r I
VALUATION SOURCE GAS ELECTRIC I WATER I 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 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 d �;
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS1 ` n Plumbing �—
IIATC /1G AAAI 1/ATllll�l ' li? l� Cl/`I�IATI IBC (1C AO!)I 1lAI.IT �AL!"%�� /♦ 'V/ J/l.�:l.(/-G Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ECIALrAC�ONDITIONS:
t otic- r2v1 tJ
*400
G.0 0 J
*45.006
A * 0.0
'01 -07-82
6,419.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 0 7- -4 8i 2'
9 a.
DATE ISSUED PERMIT NO.Z
1
Plan Check
f �V
SEPA
0
f,
Mobile Home
1Lj
LL
Other (Specify)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 0 7- -4 8i 2'
9 a.
DATE ISSUED PERMIT NO.Z
1