HomeMy WebLinkAbout1983, 11-07 Permit: 83B-1353 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPAATMEN•F OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
STREET ADDR5SS
1.
LOT
2.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
3313
BLOCK SUBDIVIalON
3 owNr kirdI�1 �A1
MAILIjJ�G�{/5(bO/nrcits y-nDRESS //,��,O_ �JJ�\
4. CD lISSt �ceZCST �t / ( Lioo o1
Ago /30( 3Fi7V
DESIGNER
5.
PHONE
A, I LICEN E PIRES
ZIP
zPintz
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North ISouth
Size of Parcel
Type Const.
Occupancy
EaSt
IWest
Zone Classification
Residential 0
Commercial 0
Sp nkiered
DVes DNo OReq'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfln. Basement
TYPE
7. OF
WORK
NEW 0 ALT. 0 AD' N. 0 RPL.
BLD. ICPLMB. 0 MECH. 0 M.H.
/1 11.4_1)1tk� Afi s- /3
ELECTRIC WATER
PUBLIC 0
PRIVATE 0
8.
DESCRIBE WORK
VALUATION
9.
SOURCE
UTILITIES
❑ MVE.
❑POOL 0 OTHER
GAS
N0. Baths
No. Floors
No. Fin Rooms
No. Dwellings
Drill'. of Exempt.
or Variance
Required Vest] No0
Received Yes] No0
Number
Shorelines/Flood Hazard
Yes0 Not Applic. 0
Rare Required D
Received 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this applicatiand have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. All : rovisions of laws and ordinances governing this type of
work will be complied with whether sp: alied her ' or no The granting of a permit does not presume to give au-
thority to violate or cancel the provisi - of any her a j or local law regulating construction or the performance
of construction. SEE REVERSE SID? ' OR REO I y �y�, ECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SECIAL CONDITIO
APPLICATION /�
/
DATE
13
S: (SEE REVERSE SIDE FOR NOTICE)
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 $
PERMIT NUMBER
03* *57.00
*57.006
A *0.00
1352
1.1-07-83
a 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISI1 t] 0, 7- 8 3
135:'32
PERMIT NO.
*57.000.1
TOTAL