1982, 01-18 Permit: 82A-360 Mechanical FixturePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILb[Ndr CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADORES
,� LEGAL DESCRIPTION - SEE ATTACHED
LU I I BLUCK ISUBDIVISION PARCEL NUMBER/S
ER
MAWWR
❑
Actual Set Backs in Feet
North South East West
C TRACTOR ,
P
ON
Size of Parcel
Zone Classification
4. \,
t
R E2 . `
hMi
Z .�.
Type Const.
Occupancy
Sprinklered
1 I
.i
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
NEW ALT. LiLJLJAD'N. RPL. MVE.
], OF El OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd.Not Req'c
of EXEMPTION
DESCRIBE WORKRK�p
Enum. Dist.Location (Area)
8.nt ADcr FEES COLLECTED
VALUATION SOURCE GAS ELECT IC WATER SEWER 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 iI
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances govern
type of work will be complied with whether specified herein or not. The granting of a permit does not Building
to give authority to violate or cancel the provisions of any other state or local law regulating constructio
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION " SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Hez
Planning
Fire Mar
Co. Engi
neer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
04* *2000
<� 0(-10
*2g00It'
*C.00 L?
35.9.
C; 1 - 1 8-82
6474.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
p*'8'2 36.02
DATE ISSLED PERMIT NO.
*20,OO(OL I--
TOTAL