1983, 03-31 Permit: 83A-2446 Plumbing FixturesAPPLICATION/PERMIT
• SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
;\PPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADC'r'r=��
1. /7c104L 1 BLOt'r<
2.
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
3.
4.
OW
YC O ry kvNIckc
AD RESS
�' e, E. f� vzY
CONTRALTO
T.r� t _pi v(SeS
ADDREss
llic` / 1 l vel+�L f
PHONE
Qz
4-57e
ZIP
Actual Set Backs in Feet
North 'South
East )West
POE *j z
Size of Parcel
Zone Classification
W204.-
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5, ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor I Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
Pr NEW
❑ BLD.
❑ ALT. ❑ AD'N.
,PLMB. ❑ MECH.
❑ RPL.
0 M.H.
0 MVE,
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
9.
DESCRIBE WORS
VALUATION SOURCE GAS
OF
UTILITIES
Enum. Dist. I Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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 work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating constLuction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
2 - S��UIev S
3 -- %adthS
4-
fStie'k
l/
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L- ail Atdv y 71•ay
PERMIT IS NONTRANSFERABLE
/-r,44-1J'e V
j Fear O'
- ( k
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
PlumbingAK e:2—"n
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) $ `r Cl
fe Mi r
TOTAL $ 7J,
PERMIT NUMBER
03* *;'.00
*73.F06'
A *000
244,52
03-31-83
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
03i6,31-83 244,62 *73.0;0 .F4
DATE ISSUED
PERMIT NO. TOTAL