1983, 08-30 Permit: 83A-8356 Plumbing FixturesPLAN NUMBER
i
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
STREET ADDRESS
1.
PARCEL NO.
2.
3.
4.
LOT
OWNER
Joe
BLOCK
SUBDIVISION
r, rm-'CA
PHONE
PHONE
0240-7741
LEGAL DESCRIPTION:
MAILING ADDRESS
. t—. tI Co 7ESrhc-r-
CONTRACTOR
ZIP
eiteatiC
Actual Set Backs in Feet to:
North 'South (East 1 West
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential 0
Commercial 0
ADDRESS
ZIP
Type Const.
Occupancy
Spr nklored
OYes DNo OReq'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Flcor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
7.
TYPE 0 NEW
OF
WORK: 0 BLD.
0 ALT. 0 AD' N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certlll. of Exempt.
or Variance
Required Yes❑ No0
Received VesO No❑
Number
8.
DESCRIBE WORK
Shorelines/Flood Haza d
Yes0 Not Applic. 0
Plans Requ'red O
Received 0
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERS IDE FOR R • ,; ED INSPECTIONS
,1/ /14 . ,. .r a
SPECIAL APPROVAL • //SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
SIGNATURE OF
OWNER OR AGENT
APPLICATION .g -3o- G 2
DATE C (� of
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
t?
830
Si NW.,
-r Las
'TOr Let
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing 1-7-�
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 17'4'
PERMIT NUMBER
S13/4. -
03* *17.00
* 1 7.00'6
A *000 8
835.52
08-30-83
6479.
C.
O
V
W
J
IL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
UED 8'3
DATE'
PERMIT
.53. 5:6Z *1, oo ATFL