1983, 07-27 Permit: 83A-7047 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
l PARCEL NO.
PERMIT NUMBER,
M ILING ADDRESS
ZIP
Actual Set tracks In Feet to:
j 0— ej
, I
North South East West
C ACTORLICEN
E ARE
PHONE ,,
Size of Parcel
Zone Classification
Re idmen�tial 0
4. V e Y
�/ J
,APDRESS
ZIP
Type Const.
Occupancy
Sprinklered
V, 1 6
V,
� �
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE Y EW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7.OF
El BLD. XPLMB. 1:1MECH. ElM.H. 11 POOL ❑OTHER
Certifi. of Exempt.
-T
Required Yes❑ No❑
Number
WORK
or Variance
Received Yes❑ No❑
8 DESCRIBE WORK f
Shorelines/ Flood Hazard
Plans Required ❑
��--��
Yes Not Applic. ❑
Received ❑
VALUATION
SOURCE
OF
GAS
ELECTRIC
WATER
PUBLIC 11
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9
UTILITIES
PRIVATE ❑
I SEWER El
public El Private ❑
1 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
Building
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 vi ' ns of any other state or local law regulating construction or the performance.
of construction. SEE REVER S OR RE ED INSOECTIONS
Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
Mech.
SPECIAL
APPROV LS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health
PRELIM. FINAL..
A
7((TE l
/ !J ) tt/
Plan Check
A-5 /7G
Planning
I h/~
t i��GO
SEPA
r 1 ((/h
Modular/
MFG. Home
>
Fire
p
Prevent.
C
Engineer
� !� v
Other (Specify)
C.
u
Utilities
�
Tlt�
u
LiJ cy
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans
PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
07-27-85 7u4z 45.00°f -
IN 180 DAYS
,
Tech.
%
TrTAlBuilding
DOTF ISSIIED DFrM IT NA