1982, 10-22 Permit App 82B-0032 Plumbing FixturesVUMBER 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
1.r,-. k7�1Yl� LEGAL DESCRIPTION —SEE ATTACHED
r^4'
OWNER
of EXEMPTION
PHONE
(�_
Moo
- 2
3.D
Location (Area)
8.
ADDRESS
ZIP -
Actual Set Backs in Feet
S 60� CA
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
North South
CONTRACTQR
PHONE
Size of Parcel
Public ❑Private ❑
4' ADDRESS
ZIP
Type Const.
Occupancy
DESIGNER
PHONE
Valuation
5.
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
ADDRESS
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
ZIP
Main Floor
Upper Floors
CHANGE OF USE FROM
M h.
TO
Area of Decks
Finisher
s.
❑Yes [-]No ❑
�/ No. Baths No. Stories No. Rooms
TYPE Y� NEW 1:1 ALT, ElAD'N. El RPL. ElMVE.
%, OF _/ ❑ OTHER
WORK 11 BLD. YJ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req -d.
SPECIAL APPROVALS
NAME DATE
Env. Health
u
ng
SPECIAL CONDITIONS:
� sinlKs
l
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
10-2 2-8 2'
DATE ISSUED
PERMIT NUMBER
11", g2J!�>-00'--7�,`2— '
03* *25,00
*2500
A *000 00
31g
10-22-82
;@ 6479.
3-12 c.5 *25,OO;a�J. -
PERMIT NO. TOTAL
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8.
�S
FEES COLLECTED
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9. UTILITIES
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION 2- F2, SIGNATURE OF APPLICANT '
M h.
SPECIAL APPROVALS
NAME DATE
Env. Health
u
ng
SPECIAL CONDITIONS:
� sinlKs
l
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
10-2 2-8 2'
DATE ISSUED
PERMIT NUMBER
11", g2J!�>-00'--7�,`2— '
03* *25,00
*2500
A *000 00
31g
10-22-82
;@ 6479.
3-12 c.5 *25,OO;a�J. -
PERMIT NO. TOTAL
0
12'
We
I
I,Ogg Ga I
Se pt« 2 S I
30 ank
28'
Drain f ielct,
+' I prop red ut�litIM De
m '
dl �
a- CFv to l
3 Bedroom
3a' M,DMe Home
a`
a,
LO -f3 IV
R-%Oo rr,
• 10 0or 6-, GDS �
LO -f g
g�ocK tl
�n
�tti. ry
J
6' Easement