1984, 04-17 Permit: 84A-3425 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY B44 4.i
2/1
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET DDRESS PARCEL NO.
1. 7570 /� �/L-
L BLOCK SUBDIVISIO LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. L77 y / / C43/
MAILING ADDR$ ZIP Actual Set Backs in Feet to:
North 'South East I West
CONT CTO /7/� // LICENSE EXPIRES PHONE ��/ Size of Parcel Zone Classification Residential❑
4. s . fic- �/�f l�� 7 c� Commercial❑ -r _� i
ADDRESS /ZIP Type Const. Occupancy Sprinklered x C
/7 7 / C Cie/ r' _• 7 L-f •7. ❑Yes 0 N ❑Req'd.
DESIGNER / PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
J. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM • TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. ,, -i-
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE L INEW ❑ ALT. ❑ AD'N. E RPL. ❑ MVE.
7. OF ❑ OTHER
WORK
ID BLD. LMB. ❑ MECH. ❑ M.H. ❑ POOL Cevai:ofExempt. Required Yes No❑ Number
or Received Yes No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8, Yes Not Applic.0 Received 0
VALUATION SODURCE GAS ELECTRIC WATERE EC SEWAGE Ownership FEES COLLECTED
9. UTILITIES
0
PRIVATE 0 SEWER❑ Public 0 Private 0
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 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 provisions of any other state or local law regulating construction or the performancec7
of construction.SEE REVERSE S DE FOR REQUIRED I SPECTIONS Plumbing 0
SIGNATURE OFAPPLICATION �/
OWNER OR AGENT / (k. DATE Mech.
2/-1,-,1 -6,e-e-,
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE ' /,L
Env.Health Z tr_--(--��,"� SEPA
Planning / , /Zej r�� -e(� 1J Modular/
/ MFG.Home
Fire -3.-1-1--LA-1—A— / /,1-4-...)
l
CL
Prevent. Other(S ify) �C' V 0 O
Engineer J
UtilitiesCI'�
TOTAL $ LT-
5--6
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
Building /' r IN 180 DAYS (I -ii.1
- !. /� O. �` IAL
Tech. i R fh7 DATEWSSUE PERMIT IG'.2= 5