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HomeMy WebLinkAbout1983, 08-18 Permit: 83A-7930 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY } €5 5 A 7 L.) 1 ii NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESSPARCEL NO. ,---, LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. OWNER PHOI�I PHONE pi WI3. iYt 1y - il 0S`-. `1;711-1' ��'/ ILIN ADDRESS / I -7 ZIP Actual Set Backs in Feet to: 4 J: C L'5 (2/1 f)/11.4h r cl i North 'South East I West ORITRACTJOR , LICENSE EXPIRES .P NNE Size of Parcel Zone Classification Residential 4. `1e. t Y 1'z t.'.1 Wi t_ -2-/ i'c*, 'zi., `i:.,I`C% at% Commercial❑ .. AllIORF4S / 1 Z3IP Type Const. Occupancy Sprinklered / r()Dis l<14Ic({ )K 4r)Q_i1--L\ 1 C bG\. !~� ❑Yes ❑No ❑Req'd. DESIGNER ` PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area !i 5. ., ai ; ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse ;7CL.C . CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. - 1 No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE [. "EW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. L q_ ./ 7, OF 0 OTHER WORK ©BCD. C'ISMB. 0 MECH. 0 M.H. ❑ POOL oCrVarianEempt. Required Yes❑ No Number Received Yes No DESCRIBE WORK ,/ , Shorelines/Flood Hazard Plans Required 0 8. . j // �i j� — I, f `� Yes NotAPPlic.❑ Received ❑ VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED 9 PUBLIC❑ SEPTIC❑ PRIVATE❑ SEWER❑ Public 0 Private 0 UTILILITIES 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 performance -' of construction.SEE RE SE SIDE FOR REOUIRED INSPECTIONS Plumbing SIGNATURE OF \ ,` --- APPLICATIONrc7rr % ' OWNER OR AGENT �='c.!> C"'.e A DATE ri. /,, -C = Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE + i i` ` Env.Health 71 3_ -1/4/,,a z.) SEPA Planning / - rt,"‘,-C'' Modular/ MFG.Home Fire _ .Jhj;t {1tyfi-.'.— d Prevent. / 3', le o Engineer / ,K, c.i/..Gi Other(Specify) v W Utilities /.— G%F 4-5h/W"` LT- . _ /.. 741 t i .2iln, TOTAL $ 5 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 1t' — 16 IN 180 DAYS QIE1 ? 83 o * OJ 1. DATEIBSSUEDL S �S`I PERMIIYNO.J/0 z 4 5. 0 0 QOfFAL