HomeMy WebLinkAbout1984, 02-21 Permit: 84A-1441 Plumbing FixturesPLAN NUMBER APPL ICAT ICN /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
PARCEL NO.
LOT BI
2.
OWNER
3. 1
MAILING ADC
4.
Z 23
DESIGNER
5.
ADDRESS
PHONE PHONE
ZIP
LICENSE EXPIRES PHONE
ad ZIP
M
North South Fast I West
Size of Parcel Zone Classification 7 Residential❑
Commercial ❑
Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Req'd.
New Const. Valuation Remodeled Valuation Total Bldg. Floor Area
ZIP Main Floor
CHANGE OF USE FROM
TO
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW ❑ ALT. DAWN. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
Plans
WORK ❑ BLD. B. ❑ MECH. ❑ M.H. ❑ POOL
xempt.
Required
Yes❑ No❑
Number
Building
Tech.
rPNubIrililic
Received
Yes❑ No[]
IN 180 DAYS
DESCRIBE WORK i
8
Shorelines/ Flood Hazard
Plans Required ❑
I
Yes Not Applic. ❑
Received ❑
VALUATION
SOOUFCE
GAS
ELECTRIC
PUBLC WATER
SEPT C SEWAGE❑
p
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑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
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
�24
of construction. SEE REV SE SIDE FOR REQU EDI SPECTIONS
Plumbing
SIGNATURE OF APPLICATION
`� 2 ��'' `
OWNER OR AGENT "f'—'� DATE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Ern. Health PRELIM. FINAL DATE
, ^ff
Plan Check
V
SEPA
Planning
Modular/
Fire
MFG. Home
Prevent.
Engineer
Other (Specify)
TOTAL $ �2 a
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMI NUiBFR
DATE ISSUED 1 y PERMIT NO. l z 6 1. 0
0
* TOTAL
C
C
C
L
L
L K('( SINS
t t
Utilities
I ( 9K .
SEPA
PERMIT IS NONTRANSFERABLE
Plans
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech.
IN 180 DAYS
TOTAL $ �2 a
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMI NUiBFR
DATE ISSUED 1 y PERMIT NO. l z 6 1. 0
0
* TOTAL
C
C
C
L
L