The URL can be used to link to this page

1983, 09-06 Permit: 83A-8636 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. STREET ADDRESS A',,'/71)7 One PARCEL NO. LOT 2. BLOCK SUBDIVISION Of ER 3)r�� r ILIN ADDRESS / 2-,i 2 RACTOR v4. t' a, 7ty ] pk.D ESS DESIGNER 5. ADDRESS P ONE /s/ PHONE LEGAL DESCRIPTION: ZIP Actual Set Backs in Feet to: North I South l East I West LICEN E VpIRES y PH9N ,i,7 �/ Size of Parcel 1 Zone Classification Residential 0 Commercial ❑ ZI HONE Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req 'd. New Const. Valuation Remodeled Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPEIEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7. OF WORK ❑ BLD. 1FLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required YesE No❑ Received Yes❑ No❑ Number 8. DESCRIBE WORK VALUATION 9. SOURCE UTILLIITIES /?: 1:::;.x .7LtL re- 3 GAS ELECTRIC WATER PUBLIC ❑ PRIVATE 0 Shorelines/Flood Hazard Yes Not Applic. ❑ Plans Required 0 Received ❑ SEWAGE SEPTIC ❑ SEWER 0 Ownership Public ❑ Private ❑ 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 whe her specified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel p o '.ions of an other st•te or local law regulating construction or the performance of construction. SEE REV FOR QU ED I .,, PECTIONS SIGNATURE OF OWNER OR AGENT SPECIAL APPROV S PRELIM. FINA DATE Env. Health Planning Fire Prevent. ngineer Utilities SEPA Plans Exam. Building Tech. APPLICATION 7/ (4eg DATE SPECIAL DITIONS: (SEE REVERSE SIDE FOR NOTICE) f_ _e 1 _ I Plo©Y V raz-4A.1 PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ ys`� PERMIT NUMBER, -7-11A4—tea 03* *45,00 *45006 A *000 36352 09-06-83 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09=06-83 86362 *45.00° DATE ISSUED PERMIT NO. TOTAL