1983, 12-09 Permit: 83B-2405 Heater, Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY , 7`9,13 – 2-v ^`�
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
I
STREET ADDRESS PARCEL NO.
-�
1. A/. c2 // / `4/jrA
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNERS PHONE PHONE
/V 1e/1/9 & .0.4A/ E-/('/9 0 '9.:, /-• 76 9 v
3. MAILING ADDRESS ZIP Actual Set Backs In Feet to:
"9/71 E North 'South LEast I West
CONTRACTOR /� w /� LICENSE EXPIRES PRONE o G Size of Parcel Zone Classification Residential❑
E r?r /e4-?/v F --ie /e ,'. -3/, ,73 e—,'G a i Commercial❑ !,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Req'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 ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK
CI BLD. ❑ PLMB. fMECH. ❑ M.H. 0 POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes El No
�?ESCRIBE WORK '/ I. Shorelines/Flood Hazard Plans Required 0
81 /57-fjL[_ �C5 p t> ) f 6 re./ (IN/7— 17`El9 TE�- , �'/� Yes Not Applic.0 Received 0
VALUATION SOOURCE GAS ELECTRIC PUBLIC O SEW C❑ Ownership FEES COLLECTED
9• UTILITIES PRIVATE 0 SEWER❑ Public 0 Private 0 ''
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 REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATION r
OWNER OR AGENT e CI 12 14 -.-a - DATE , fg D Mech. /(1,E70
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home
Fire d
Prevent. a
Engineer Other(Specify) - - LN
J
LL
Utilities '
O"
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Mans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
EExaming r .\ I7/ PERMIT IS NULL AND VOID IF WORK
DAYS HAS NOT COMMENCED o J
Tech. ` C 12 -09 -83 240.52 * 19. 00x1
I / DATE ISSUED PERMIT NO. TOTAL