1983, 11-07 Permit: 83B-1351 Plumbing FixturesPLAN NUMBER
P%
APPLICAXIQN/PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3COPIES
2.
3.
4.
5.
JOB ADDZ655 (/ ^j�j� Iy/(^/c'.J'
LOT HLtJCIiSU BDI N /
D
ESS r/J
,�W��jjjOJr�JD-
AD E$5 Q i I(t r �.
DESIGNER X 2�%(L
LEGAL DESCRIPTION — SEE ATTACHED
PH•ONNEE [''�
S 7J— 5J -X
ZIP
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const.
Valuation
Occupancy
East
'West
Zone Classification
Sprinklered
Oyes ❑No 0 Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.'
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
9.
NEW ❑,,,fALT. 0 AD N.
BLD. C-PLM]BB. 0 MECH.
DESCRIBE WORK
VALUATION
SOURCE
OF
UTILITIES
GAS
0 RPL.
LECTR IC
0 MVE.
0 POOL
13
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms •
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public D Private 0
USE CODE
Req'd.
I hereby certify that I have read and examined this a
on reverse side, and know the same to be tr • and
type of work will be complied wi i wheth: s.ec B
to give authority to violate or c. fel the . ovisio
performance of construction S.- REVER. 1'
lication and have read the "NOTICE" provisions included
rrect. All provisions of laws and ordinances governing this
herein or not. The granting of a permit does not presume
f any other state or local law regulating construction or the
OR REQUIRED INSPECTIONS 9 I
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME ,DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CO .ITIONS: '
1
//Al,
triaisiese
rig
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Jot Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
PIan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
$ 67aL
PERMIT NUMBER
tas3 rsC t
03* *57.00
*57.00
A *0.00 8
13502
1.1 -07'-83
2 6479.
kj
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
117,0("71er 1�3y
1�3'511z *;5 7.O Q
DATE ISSUED PERMIT NO. TOTAL
0-
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W