1983, 01-12 Permit: 83A-0283 Mechanical FixturesNUMBER APPLICATION/PERMIT
} SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
0 3A -
1 9.G0
*19.00
ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
g, 1 1 1 11-12-83
TYPE No. Baths No. Stories No. Rooms No. of Dwellings 47
❑ ❑ ❑ ❑ ❑ MV
NEW ALT. AD N. RPL. E.
7, OF ❑ OTHER
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
AJ92�y�
Req'd.
Recd.
LEGAL DESCRIPTION — SEE ATTACHED
1.
WORK
of EXEMPTION
I
LOT
B O K
SUBDIVISION
8 r
A ale!
PARCEL NUMBER/S
2.
9. 1UTILITIEOS Public ❑Private ❑Single
$
I hereby certify that I have read and examined this application and have read the "NOTICE" provisio
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goBuilding
OWNE
PHONE
Inuded
to give authority to violate or cancel the provisions of any other state or local law regulating constru
�Ljg
)(I
Mech. 0
DATE OF APPLICATION SIGNATURE OF APPLICANT
3.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
ADDRESS
Env. Health
ZIP
SEPA
Actual Set Backs in Feet
Planning
1..�1
V
North South
East West
C ACT R
Co. Engineer
Other (Specify)
PHONE
Utilities
Size of Parcel
Zone Classification
TOTAL $
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
4. ADJ)RESS
THIS BECOMES A PERMIT.
ilding echni a PERMIT IS NONTRANSFERABLE
0;�1''.12''8"3`
2 8.3 z
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5
PERMIT NUMBER
0 3A -
1 9.G0
*19.00
ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
g, 1 1 1 11-12-83
TYPE No. Baths No. Stories No. Rooms No. of Dwellings 47
❑ ❑ ❑ ❑ ❑ MV
NEW ALT. AD N. RPL. E.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. ' MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
DE RI EW RK Enum. Dist. Location (Area)
FEES COLLECTED
8 r
A ale!
VA TION SOURCE GAS ELECTRIC WATER SEWE9 Ownership
9. 1UTILITIEOS Public ❑Private ❑Single
$
I hereby certify that I have read and examined this application and have read the "NOTICE" provisio
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does n
Inuded
to give authority to violate or cancel the provisions of any other state or local law regulating constru
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Mech. 0
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist
THIS BECOMES A PERMIT.
ilding echni a PERMIT IS NONTRANSFERABLE
0;�1''.12''8"3`
2 8.3 z
�19.0,0a-0- -