1983, 03-02 Permit: 83A-1464 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
0 I ____ _ SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY b 3A " 1444-
NORTH 811 JEFFERSON/SPOKAN` WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
LOT BLOCK SUBDIV SI LEGAL DESCRIPTION:
2. * 2 C
OWNER PHONE PHONE
3.
G
MAILING ADDRESS ZIP Actual Set Backs in Feet to: ' -
4_{,,-;_ - /-\t /c , [ Z, _North 'South East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ - I- 27'
4. 6,j [1 l -1A. ?)28, �f Commercial ElADD ZIP Type Const. Occupancy Sprinklered /
6- 1 ❑Yes ❑No ERN'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck • Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE OrlEW CI ALT. ❑ AD'N. ❑ RPL. CI MVE.
7. OF WORK CIBLD. ❑ PLMB.WECH. ❑ M.H. POOL CI OTHER Certifi.of Exempt. Required Yes!: No❑ Number
or Variance Received Yes CI No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8. I't' I NI Al Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCEOGAS ELECTRIC PUBLIC SEWIC❑ Ownership FEES COLLECTED
9 F
UTILITIES PRIVATE❑ SEWER❑ Public❑Private❑
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 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 REV RSE SIDE FOR RE•UIR ' INSPECTIONS Plumbing
SIGNATURE OF '1 '., , S 1-1,44D APPLICATION
OWNER OR AGENT / ' MP' _ DATE '3/2 /03 Mech.
SPECIAL APPROVALS • CIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE f n p 0g-ki ( . .c i FK-I Plan Check
Env.Health CII f 14K p�(��"j yY,�t FK
-I
W I t� 1'�. ( '-,-7 '.l VILI SEPA �.
Planning I
ll Modular/
Fire _I
I 1 �) � MFG.Home )-
Prevent. tL
O
Engineer
Other(Specify) v
W
J
Utilities
SEPA '
LL
TOTAL $
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building 1h IN 180 DAYS o 3 0 2 —8 3 l (j L 0 * O J
Tech. . /y DATE ISSUED PERM 1714 6 4 z 2 5. O O itfAL