1983, 05-23 Permit: 83A-4390 Plumbing FixturesNUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TG MAKE 3 COPIES
JOB ADDRESS
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
LEGAL DESCRIPTION — SEE ATTACHED
1
I
LOT
B O K
B I ISI N
No. Stories
No. Rooms
PARCEL NUMBER/S
2.
I
CERTIFICATE
OWNEVol/
Rec'd.
Not Req'd
PHONE
of EXEMPTION
3. 67d,
DESCRIBE WORK
Enum Dist Location (Area)
ADDRESS
ZIP
Actual Set Backs in Feet
North South
East West
CON QR
PH
Size of Parcel
Zone Classification
I
�S
-67
4.
ADDR S
ZIP
Type Const.
Occupancy
Sprinklered
b
I
❑Yes ❑No 1-1Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
8 C , FEES COLLECTED
VALUATION I SOURCEGA ELECTRIC WATER SEWER USE CODE
Ownership
OF
9. UTILITIES Public El Private ❑ Single $
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 thisBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not presumer
to give authority to violate or cancel the provisions of any other state or local law gulatin ' onstruc n or the
performance of construction. SEE E ERSE SIDE FOR REQUIRED INSPECTIO Plumbing
/40
DATE OF APPLICATION SIGNATURE OF APPLICANT /1 Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
Utilities -
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
wvsf
ea,I IV, A .
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�_
PERMIT NUMBER
3 X2900
* s C', 0 u
A
i;. j ? `i
,7_U.6
6 x:79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'a `3° 4 '3, 9, 0 zY
k29.00a-,j -
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPENEW El ALT. 1:1 AD'N. ❑ RPL. El MVE. ���///
y�
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7. OF d/ El OTHER
WORK If BLD. I� PLMB. ElMECH. 1-1M.H. El POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd
1
of EXEMPTION
DESCRIBE WORK
Enum Dist Location (Area)
8 C , FEES COLLECTED
VALUATION I SOURCEGA ELECTRIC WATER SEWER USE CODE
Ownership
OF
9. UTILITIES Public El Private ❑ Single $
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 thisBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not presumer
to give authority to violate or cancel the provisions of any other state or local law gulatin ' onstruc n or the
performance of construction. SEE E ERSE SIDE FOR REQUIRED INSPECTIO Plumbing
/40
DATE OF APPLICATION SIGNATURE OF APPLICANT /1 Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
Utilities -
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
wvsf
ea,I IV, A .
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�_
PERMIT NUMBER
3 X2900
* s C', 0 u
A
i;. j ? `i
,7_U.6
6 x:79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'a `3° 4 '3, 9, 0 zY
k29.00a-,j -