1982, 03-22 Permit: P82A-2023 Plumbing FixturesLAN NUMBER APPLICATION/ PERMIT
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 ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBUIVI510N PARCEL NUMBER/S
2. / ONE
(q'1V /�
ADDRES _ ZI Actual Set Backs in Feet
North South East West
CONT ACTOR
PH N-7(�� %
Size of Parcel
Zone Classification
.[�t14.,,
-/ 1 /'
4'
A S�Q )
3 rj
7�Ip _> \ l
L���`CJ-�l
Type Const.
Occupancy
Sprinklered
0
❑Yes ❑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.
TYPE ❑ NEW El ALT. El AD'N. 1:1 RPL. El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
%, OF ❑OTHER
WORK ElBLD. �PLMB. ElMECH. EJM.H. [IPOOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK,
Enum. Dist. Location (Area)
--�/ j
8.
FEES COLLECTED
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. UTIL TIES
Public ❑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
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
performance of construction. EE REVERSE SIDE FOR REQUIRED INSPECTIOAS
Plumbing �-
C� 1
DATE OF APPLICATION SIC;NATl1RF OF APPI ICA ' .2 �i,l`f��7L•"7� /
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS -
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ L_
PERMIT NUMBER
03* *9.00
*9.00 U
*9,000
A *0.00
202.22
03-22-82-
2
3-22--822 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
0'3-i22-82' 202.326
*9.00°� -