HomeMy WebLinkAbout1983, 09-06 Permit: 83A-8634 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
STREET ADDRESS
LOT
2.
BLOCK l SUBDIVISION
94/03 /-/OZuav
PARCEL NO.
Kcl
LEGAL DESCRIPTION:
OWN t-�
3. lJ'6 r .v 1- ,..tie -i.,
AILING ADDRESS
r y3 2D: Eli ti--- calrec.r ACTOR /7f
lC1Jrl:;t ireiala.
a. �
rD7s ego x ( gO1
5.
DESIGNER
PrE L -i/.2
%raelicr-%
LICEgE E)(PNE$
PHONE
ZIP52-7
1257
Actual Set Backs in Feet to.
North (South
PHONE
Size of Parcel
Type Const.
Occupancy
New Const Valuation
LIZone Classification
East
West
Residential 0
Commercial 0
Spr nklered
DYes ONo DReq'd.
Remade ed 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
Unfin. Basement
7.OF
8.
9.
TYPE riC(JEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
WORK 0 BLD. XPLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
re
Witi5ER
PUBLIC 0
PRIVATE 0
0 OTHER
SEWAGE
SEPTIC 0
SEWER 0
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certif1. of Exempt.
or Variance
Shorelines/Flood Haze d
Yes❑ Not Applic.D
Ownership
Public 0 Private 0
Required Yes❑ No El
Received Yes No❑
1 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 wh: er specified herein or not. The granting of a permit doe; not`presume to give au-
thority to violate or cancel th ivlions of an other state or local law regulating construction or the performance
of construction. SEE REVE' ] FOR ;AT IRE r, NSPECTIONS
SIGNATURE OF APPLICATION /y�-
OWNER OR AGENT .a►4. 'fife t ' ' � DATE / /��
SPECIAL APPROV,' L'
PRELIM FIN F DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam
Building
Tech.
/4,
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOWTLICE)s
a—j /-LLSJ
- 5Lowcf
3 - / o;
y- 2.42-✓
� - S r' 17 k
Or'St1r
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
humai Tit
Number
Plans Required D
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
27,0
Other (Specify)
TOTAL $ _LSC
PERMITNUMBER
4
�
03* *77.00
*77,006
A *000
86332
09-06-83
2 6479.
d
O
W
J
Ls -
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
•
DATEQx9 _�'
SSUEdi 6
s is
PERMITNt'. 411 * 77 O O %*AL