1983, 06-29 Permit: 83A-5961 Plumbing Fixtures PLAN NUMBER . _ .. APPLICATION/PERMIT I PERMIT N MBER
Y
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY - I' '1 7(9 I
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. South 2423 Wilbur Road
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
lLl f4,. . o
3 MAILING ADDRESS ZIP Actual Set Backs in Feet to:
North I South I East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential 0
4.4d+ O ..52,-•4-...._c ..52,-•4..52,-•4-...._ /�
•9- fcCv�
dA ,/5 -67-0C- /¢-23--k'1 102`�3c 1 Commercial 0
ADDRESS _ ���Z S fZIP< Type Const. Occupancy Sprinklered
/7 6 / ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5.
o * * 45. 00
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse * 1t 5,o 0 6
CHANGE OF USE FROM TO Cover Deck - Uncv.Deck Fin.Basement Unfin.Basement rti * r C C
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings 5 9 0 0 i
TYPE [,SEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER 0 '-29-1'33.
WORK ❑ BLD. i,�PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ No❑ _ 6 4 7 9.
DESCRIBE WORKShorelines/Flood Hazard Plans Required 0
8. /v re.,x Yes❑ Not Applic.❑ Received 0
VALUATION SOURCEDGAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9 PUBLIC 0 SEPTIC 0
OF PRIVATE❑ SEWER 0 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 provis'•ns of any other state or local law regulating construction or the performance �.
of construction.SEE REVERS I a E FOR REQUIRED INSPECTIONS Plumbing .4/6...SIGNATURE OF APPLICATION 2
OWNER OR AGENT .+ift DATE .x'21 5i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
2 we
Env.Health r90-1Gol3 , SEPA
/
Planning ` 5t✓(C
t vModular/
MFG.Home
Fire t 54otdC-L a
Prevent. O/ C..)
( (.v(4 Other(Specify) Lu
1. :1'3J
1
Utilities 1 (4,454 ,�
x
TOTAL $ y"�
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED 11 - �j f1 1 II O
Building9 (/h" IN 180 DAYS DATE ISS�ED PERMIT�O? �'y z * 45. T�l�AI
Tech.