1983, 11-23 Permit: 83B-1980 Plumbing FixturesPLAN NUMBER APPL ICAT ION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
- 161 So
6. CHANGE OF USE FROM I TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
IYPt B'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
APPLICANT: COMPLETE NUMBERED SPACES -PRESS
HARD TO MAKE 3 COPIES
7. OF ❑ OTHER
STREETADDRESS
PARCEL NO.
Required Yes❑ No❑
Number
WORK ❑ BLD. 24LMB. ❑ MECH. ❑ M.H. ❑ POOL
LOT
BLOCK
SUBDIVISION
/Flood Hazard
rP%ublicED
LEGAL DESCRIPTION:
l� S
2.
Received ❑
VALUATION
9•
SOURCE
GAS ELECTRIC
ER
PUBLIC ❑
OV�X(NER
PHONE
PHONE
3. tA`�cNQ
UTILITIES
Z7
PRIVATE ❑
SEWER ❑
MAILING ADDRESS
ZIP
ua t Backs 1n Feet to:
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
1 ,G��
�
North South East West
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
CONTRACTO.q
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
4. L 1/— rZ
OWNER OR AGENT ATE
Ct;T
=mac%
SPECIAL APPROVALS
SPECIAL CONDITIONS: E(.RtVERSE SIDE FOR NOTICE)
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
1 )GJ Vs
�� � 2"C
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6. CHANGE OF USE FROM I TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
IYPt B'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
.
Required Yes❑ No❑
Number
WORK ❑ BLD. 24LMB. ❑ MECH. ❑ M.H. ❑ POOL
Received Yes❑ No
8 DESCRIBE WORK
/Flood Hazard
rP%ublicED
Plans Required ❑
l� S
Not Applic. ❑
Received ❑
VALUATION
9•
SOURCE
GAS ELECTRIC
ER
PUBLIC ❑
I SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER ❑
❑
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
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 REVERSE SIDE FOR REOMJREDJNSPECTIONS
Plumbing Z7
SIGNATURE OF APPLICATION j
`�
OWNER OR AGENT ATE
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS: E(.RtVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE 72— 7 t, L C_-, j
Env. Health
Planning Z Cil Z S
Fire}yafp NE
Prevent.
r*
Engineer
Utilities I I I I ) �iZ C� thT re—
Plans i i i I PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingI �� IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
DATEfS9UED4- J_ t ) 4 8. U z * 4 5. C°
PERMIT NO. TOTAL
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C
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LL
LL