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1983, 10-11 Permit: 83B-281 Plumbing Fixtures
PLAN NUMBER APPL ICAT ION /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 STREETADDRESS ✓29©� PARCEL NO. 2. LOT I BLOCK I SUBDIVISION L..F LEGAL DESCRIPTION: PHONE ILIN ESS ZIP Actual Set Backs in Feet to: North South East West RACTOR LICEVE P PH f Size of Parcel Zone Classification Residential ❑ 4. T f j 1 Commercial ❑ C]�RE ZIP Type Const. Occupancy Sprinklered o . ( ❑Yes ❑No ❑Req Id. 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. TYPE NEW ALT. ElAD'N. ❑RPL. C]MVE. No. Baths No. Floors N o. Fin. Rooms No. Dwellings % OF ❑OTHER WORK El BLD. IPLMB. El MECH. El M.H. ❑POOL Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes El No❑ DESCRIBE WORK 8' Shorelines/ Flood Hazard Plans Required ❑ ., Yes F-1 Not Applic. ❑ Received ❑ VALUATION 9• I SOOFUF�CE GAS ELECTRIC WATER PUBLIC ❑ SE TIC O Ownership FEES COLLECTED UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 s ecified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel th r I ns of any other state or local law regulating construction or the performance of construction. SEE REVE SE FOR R681111JED Ib4PECTIONS Plumbing �S�f� SIGNATURE OF APPLICATION OWNER OR AGENT DATEMech. SPECIAL APPR PRELIM. FI Env. Health Planning Fire Prevent. Utilities Plans Exam. Building Tech. SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR TILZ /e._7- PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ PERMIT NUMBER %�t-Z' " WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. p DATE ISSUED l ) PERMIT NO. U o CL C U U