1983, 02-24 Permit: 83A-1293 Piping I
PLAN NUMBER APPLICATION/PERMIT I t 'ER
ISPOKANE COUNTY - BUILDING CODES DEPARTMENT PERMIT NMBER
(I f NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS?HARD TO MAKE 3 COPIES
JOB ADDRESS
1. o� t� `��/� � LEGAL DESCRIPTION — SEE ATTACHED
.,
LOT I BLOCK (SUBDIVISION PARCEL NUMBER/S
2. PHONE p
3. OWi �`�� �IP �� s
Actual Set Backs in Feet
ADDRE --r
North (SouthEast West
C N RACTOR� PHONE Size of Parcel
Zone Classification 0 Q. * * 1 8 0 0
� dePHONE SB * 1 8.006
Type Const. I Occupancy Sprinklered
4. �//// IP * 0.00
ADDRESS �� �� Type 9 Z4,6 ❑Yes ❑No ❑ Req'd. �1
DESIGNER
/ / ,�� "77 Valuation Building Area in Sq. Ft. 1 2 U„2
IG `� PHONE
DESIGNER —
CJ ZIP Main Floor I Upper Floors Garage Area I Storage 0 2—2 4—8 3
ADDRESS
Area of Decks I Finished Basement I Unfin. Basement 6,4 / 9.
CHANGE OF USE FROM ITO IL
6. No.Baths I No. Stories No. Rooms INo. of Dwellings
TYPE 0 NEW 0 ALT. 'N. 0 RPL. 0 MVE. 0 OTHER
7, OF CERTIFICATE Req'd. I Red. (Not Req'd.
WORK ❑ BI D' 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL c
of EXEMPTION l'
Enum. Dist. I Location (Area) ' FEES COLLECTED
DESCRIBE WORK
8. USE CODE
VALUATION SOURCE GALECTRIC I WATER SEWER Ownership
I OF Public 0 Private 0 Single $
9. UTI LITIES
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 Building
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 construction or the Plumbing
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
�} � A4-31 Mech.
DATE OF APPLICATION �'`' SIGNATURE OF APPLICA'
n
SPECIAL APPROVALS SPECIAL CONDITIONS: / rl / p C� Plan Check
NAME DATE
r�7) r�/(///�,� i.�C/..�
Env. Health
: a •Q C7 SEPA
yQ�yL 4.m _ �w
y Q � w
Planning / Mobile Home
Fire Marshall
J
� i/_/A jr''1, 4'7%./' � , v �
Other (Specify)
Co. Engineer .•
Utilities �� TOTAL $ ��
Plans Examiner &'" WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
V1.&\-•
._ <.\ �I.t `il -� r` Pf\.�k" . THIS BECOMES A PERMIT.
� a l a0� �..,Z,�:2.�.-.$ 3 12 9,3 z * 1 8. a E -
0
•
Bu an PERMIT IS NONTRANSFERABLE TOTAL
-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.