1983, 09-08 Permit: 83A-8745 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
N, /1N70?' rr_iL1.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
owhJSF-
3. / t� p\��\ffaT'
?A,'a 9D�RF$S
(!S !ILLS' 6.f rm.-i3 wG
RACTOR
4. ver (-1,4
rtu Dox
5.
DESIGNER
PHONE
9.zf? /99/
PHONE
LEGAL DESCRIPTION:
177/4
Actual Set Backs in Feet to:
North (South
East
I West
LICENSEF�(5it ),
PHONE
Size of Parcel
Type Const.
Occupancy
New Corot. Valuation
Zone Classification
Residential 0
Commercial 0
Spr nklered
Oyes DNo UReq'd.
Remode ed Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Lipper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv Deck
Fin. Basement
Untin. Basement
TYPE $NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF ,t
WORK 0 BLD. K(PLMB. 0 MECH. 0 M.H. 0 POOL
8.
9.
DESCRIBE WORK
VALUATION
SOURCE
OF
UTILITIES
GAS ELECTRIC
1S
WATER
PUBLIC 0
PRIVATE 0
0 OTHER
SEWAGE
SEPTIC 0
SEWER 0
No. Baths
No Floors
No. Fin. Rooms
No. Dwellings
Certill. of Exempt.
or Variance
Shorelines/Flood Hazard
YesD Not Apollo. 0
Ownership
Public 0 Private 0
Required YesD No❑
Received YesD No❑
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 whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the ov ons of any other state or local law regulating construction or the performance
of construction. SEE REVER 1 FOR RE D 1 PECTIONS
SIGNATURE OF APPLICATION Q /7���
OWNER OR AGENT DATE /(
SPECIAL APPROV
PRELIM. FINAL SATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech
9/7
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
oZ ' Bat9�t� /- r/00 - ✓ ;•fl
3 - r;; /e-- 1— I al ,
3 -hour;
/ -s„vk
PERMIT 15 NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Number
Rare Requ'red D
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 3
PERMIT NUMBER
5'A— 074-
03* *61.00
*61.008
A *000 S
874.4.2
09-08-83
2 647').
O
W
Li -
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A ZPERMIT.
DATE ISSUE 8 —8./
PERMIT'NO.4' / z * 6 1 O O4riAL