1983, 04-05 Permit: 83A-2610 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
� l SPOKANE COUNTY - BUILDING CODES DEPARTMENT `�� � ��
j NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
111 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADD S
1. , S. /7/3 i/ (res/ (Pr. LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S C; " * * 7 ( 0
2.3. ///��y 62494
^,OWNER Jn PHONE M1
ADDRES ZIP Actual Set Backs in Feet
2(P 'South South East West Fj
l PHONE Size of Parcel Zone Classification r
_ ,',;..,—
•
CONTR t 1h p "ti'
PHONE
/
4. #uMA74Zlp Type Const. Occupancy Sprinklered / ] y
ADDRE$�
741
//-/� -7
Dyes ❑No ❑ Req'd.
DESIGNER'/ u r PHONE Valuation Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OFyy�� ❑ OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK BLD. -PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Dist. Location (Area)
8 S 13 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ID Private 0
/ Single $
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 re•ulating construction or the
performance of construction.SEE 'E ERSE SIDE FOR REQUIRED INSPECTION)y
/ Plumbing
DATE OF APPLICATION ffg-3 SIGNATURE OF APPLICANT 41_' 'INSPECTION/,
/ _//� _l/14 I Mech.
SPECIAL APPROVALS SPE IAL CONDITIONS:
NAME DATE ` P Plan Check
W C- {`
Env. Health i/ - WOS f
y SEPA -_
Planning / 1A
�wi(j1S _ U !_
/ Mobile Home
Fire Marshall 2" o_
Co. Engineer X117' Other(Specify) ///'�/(�/Yt7/y
Utilities L-� /,!
I-- it-iirC'aTOTAL $�/ !!
Plans Examiner �
. WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
i
Building Technician .fr e`Pfis 0414ERMIT IS NONTRANSFERABLE 04'-.:05 -$ 3' 2610o * 57.0°Oo -
J -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL