1982, 10-15 Permit: 82A-9648 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 ADDRESS19�//
� R < LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OW PHONE
3. —/�
ADD ESS
ZI
Set Backs in Feet
��
North South
East West
CO RACTOR `-'V V
PHO?
`Z
Size Size of Parcel
Zone Classification
4.
ADDRESa
Type Const.
Occupancy
Sprinklered
r �� [ri.Q�i�
o
❑Yes ❑No E3 Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I 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 Dwellings
TYPE El NEW ALT. E3 AD'N. 11 RPL. El MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DE CRIBE wo
Enum. Dist.
Location (Area)
FEES COLLECTED
8. v ��
VALUATT
v�,
Q�j
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILITIES
Public El Private ❑
Single
I 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
C�
� r
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health ( -z: ) V")M atX/ 5 & 4 %&, C� o
Planning � ,M yt/� (� tr 0
s -
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ngrTech a -� PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $zit
04* * 1 9,00
* 1 9,006
A *QnCi
964.7
10-15-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10.1 96482
DATE ISSUED' PERMIT NO.
CL
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U
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ti
*19.00°0 -
TOTAL