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1983, 09-08 Permit: 83A-8781 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 STREET ADDRESS PARCEL NO. 1. 1117 S >� r'G s} ?'q44L LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION: 2. OWNER PHONE PHONE tf PRELIM. FINAL DATE 3. -Sco Env. Health WHEN MACHINE VALIDAT THIS BECOMES A PERMIT. MAILING ADDRESS ZIP Actual Set Bs North CO ACTOR LICENSE EXPIRES PHONE Size of Parcel CV I E 5' f k��r�a�i �, h� - -f Y 9941-34aI? Utilities 4. ADDRESSP q?ae, 6, Type Const. /320 C F©"r5f DESIGNER , PHONE New Const. V 5. ADDRESS ZIP Main Floor CHANGE OF USE FROM TO Cover Deck 6. TYPE VIEW 11ALT. ElAD'N. ElRPL. ElMVE. No. Baths 7 WORK ❑ BLD. OPLMB. ❑ MECH. ❑ M.H. El POOL ❑OTHER OF Certifi.ofEm South I East I West cone ciassmcauon Residential ❑ Commercial ❑ Occupancy Sprinklered Dyes ❑No ❑Req'd. n I Remodeled Valuation I Total Blda. Floor Area No. Fin. Rooms I No. Dwellings or Variance I Received Yes❑ No El DESCRIBE WORK 1 _ Shorelines/ Flood Hazard Plans Required ❑ 8• [ Yes Not Applic. ❑ Received ❑ VALUATION I SOOURCE GAS ELECTRIC WATER I PUBLIC ❑ SEPTISEWAGE Ownership FEES COLLECTED 9• UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ 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 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 th ro ' . ns of any other state or local law regulating construction or the performance of construction. SEE REVS S DE R REQUIRED INSPECTIONS SIGNATURE OF APPLICATION 17-e �3 OWNER OR AGENT4�2L� DATE Plans i I I I PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building/ IN 180 DAYS Tech. I J Building Plumbing Mach. Plan Check SEPA Modular/ MFG.Home Other (Specify) PRELIM. FINAL DATE � w J �rWf /L Env. Health WHEN MACHINE VALIDAT THIS BECOMES A PERMIT. 09�*08-83 Planning DATE ISSUED Fire Prevent. Engineer Utilities Plans i I I I PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building/ IN 180 DAYS Tech. I J Building Plumbing Mach. Plan Check SEPA Modular/ MFG.Home Other (Specify) TOTAL $ WHEN MACHINE VALIDAT THIS BECOMES A PERMIT. 09�*08-83 DATE ISSUED PERMIT NUMBER PERMIAZ8,1' . � 1 � *45.000-1 %O Al_ O- O Cj W J W