1983, 08-15 Permit: 83A-7777 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
1. 3 ri i 5 onvwc..
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
MAILING ADD SS
3 1-715 T^ncArw.uc.
PHONE
PHONE
LEGAL DESCRIPTION:
ZIP
Actual Set Backs in Feet to:
North (South
[a
West
4.
CONTRACTIOli ¥Qa,.*&aA :19oe
LICENSE EXPIRES
944-4%3
-IGH er7.23A
Slur of Parcel
Zone Classification
Residential 0
Commercial 0
ADDRESS
8905 lto (3 .61
ZIP
g4a‘s
Type Const.
Occupancy
Spr nklered
❑Yes ONo OReq'd.
5.
DESIGNER
PHONE
New Corot. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
TYPE.
7. OF
WORK
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
❑ NEW 0 �ALT. HAD' N. 0 RPL. 0 MVE.
0 BLD. "PLM B. 0 MECH. 0 M.H. 0 POOL 0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certlfi. of Exempt.
or Variance
Required VesO No0
Received VesO No❑
Number
8.
9.
DESCRIBE WORK
VALUATION
0�,t�t�t 3
S URCE GAS RCCTRIC WATER
PIC 0
UTILLIITIES F PRIVATE 0
Shorelines/ Flood Hazard
VesO Not Apollc.0
Plans Requ red 0
Received 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I 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 compiled with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SOWNER
GEFNT _ APPLICATION
OWNER OR AGENT p.� DATE S—II-53
SPECIAL APPROVALS S CIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
715
PERMIT 15 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
t � o 0
Other (Specify) 5 00
TOTAL $ ,'7.00
PERMIT NUMBER
f t\-7177
03* *1700
*17.006
A *0.00
777.62
08-15-83
6479.
'`i
0
0
v
W
—J
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
n p�p YL17 14Z �'7nr�]4
DATE ISSUEDµ 5 - ,II PERMITMd. 7. 72
*17,00if'AL