HomeMy WebLinkAbout1983, 01-06 Permit: 84A-161 Piping (PLAN NUMBER I
APPLICATION/PERMIT MB
PERMIT NUE
SPOKANE COUNTY — BUILDING CODES DEPARTMENT I� U /0/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. • . ;0 LEGAL DESCRIPTION — SEE ATTACHED
•
LOT BL•CK UBDI ISION •�—,-di �-
2. PARCEL NUMBER/S
OWNIyp�,/ r 4tM
l/ /7 jtA� PHONE
3 ADDRESS/`le�^, /��JY9C
G • x/),d ) `� ZIP Actual Set Backs in Feet -
CONTRACTOR \ North [South East (West
yy� /, M PHONE Size of Parcel
q 67" / deo ttin• Q C r I/ . y isicl. vo�O Zone Classification
AD RESS vox?
)05 ��,� S Type Const. I Occupancy ; �l. h * ; ��
07 Sprinkl
DESIGNER ❑Yes ❑No 0 Req'd.
PHONE Valuation
*
J• Building Area in Sq. Ft.
ADDRESS
ZIP Main Floor I Upper Floors Garage Area I Storage 9 (s
CHANGE OF USE FROM ITO —
6. Area of Decks I Finished Basement Unfin. Basement i -
TYPE KNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. No.Baths No. Storiesj No. Rooms No. of Dwellings
7. O F re� I F, a % Vii,
WORK 0 BLD. 0 PLMB. / MECH. 0 M.H. 0 POOL 0 OTHER
CERTIFICATE Req'd. Rec'd. Not Req'd.
DESCRIBE WORK of EXEMPTION
ELECTRIC
8• Enum• Dist. Location (Area)
VALUATION SOURCE ?GAS FEES COLLECTED
gE Ownership
a UTILITIES („�—
OF
- I WATER
Public 0 Private 0
I USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Single $
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this _
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 regulating construction or the Building
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
//WS,,�/ �/'�� Plumbing
DATE OF APPLICATION Y SIGNATURE OF APPLICANT UI�L°ie
SPECIAL APPROVALS ' Mech.
SPECIAL CONDITIONS:
NAME DATE
Env. Health / f, / Plan Check
Planning l/LULIO 4� �/ i3 �i�n PAPA ..
Fire Marshall
'O, COO er ,
Mobile Home —
Co. Engineer / � w
ciaz pl"
Other(Specify)Utilities
Plans Examiner TOTAL $ 4A"�
SEPA Checklist
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician 40 PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE U (�'� 1 6 1 z * 1 0, Q Q a 1.
- DATE SSUED PERMIT NO.
TOTAL