1983, 07-12 Permit: 83A-6409 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUIEDINQ CODES DEPARTMENT e' ' (o
7 rvORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
5 370 4 poA�?i/�='te LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. I -5 °OCIPE C O5E114
A I ai it$
OWNER PHONE
3, 3 A 4 I t4 kf%.;-7.S.1-6/1. b?-az .s Sia-/l i ve '
ADDRESS ZIP Actual Set Backs in Feet
North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4 1tlb'. A.L Pt.V ll'1i1/Si l)* G 7'7 i --s4 a"a►3
ADDRESS ZIP Type Const. Occupancy Sprinklered J * * 5' " 0
7 S-V, LS 4 -- Sr COO 10 8 3 ' t st ❑Yes ❑No 0 Req'd. * 8 5. 0 0 -,
DESIGNER PHONE Valuation Building Area in Sq. Ft. * r i1
U O
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 4 0 8 _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 0 7- 1 2-6 3
6.
No.Baths No. Stories No. Rooms No. of Dwellings L76. 4 7 9.
TYPENEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE - Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBEW RK Enum. Dist. Location (Area) T
$, a FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or theg15n
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ? I—ZT SIGNATURE OF APPLICANT %..-1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health 310- L a✓ .'CAS 4Ole-SI M 1.�wy
M
a} r-v4 .+r SEPA )-
Planning . a+ C L iCt X- 0ital(v ,j
Fire Marshall I afro Mobile Home
S AZ tij tate Er-
Co. Engineer
1� jC cc Other(Specify)
Utilities I.,,. Del'
TOTAL $
Plans Examiner i1 O;Se
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ?` L) i4 MMDr41 THIS BECOMES A PERMIT.
_ 07 I- 2'-83 640, 92
.- .in. echnician PERMIT IS NONTRANSFERABLE ,. '��. nl o * 85. 00ao I-J. -
' cl
4pyr PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL