HomeMy WebLinkAbout1983, 07-06 Permit: 83A-6182 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 63
0/ NORTH 811 JEFFERSON / SPOIKANE,W,ISHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRES LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2
OWNER6715/... PHONE
3. luod
ADDRESS ZIP Actual Set Backs in Feet
North 'South East (West
CONTR TO , l P Size of Parcel Zone Classification
{ S � / l / ria * * 57 U0
4. ADDR /�6)r ZIP Type Const. Occupancy Sprinklered
D. 3g7 gy//,, Elves No ❑ Req'd. * 57 0 0 x
DESIG ER tJ4�I` (� PF}ONrE Valuation Building Area in Sq. Ft. A * Lon,
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 1 8 1 -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 0 7 e 0 6-8 3
6. __ 6 7 9:
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHERReq'd. Recd. Not Req'd.
WORK BLD. FPLMB. CI MECH. ❑ M.H. 0 POOL CERTIFICATE
of EXEMPTION
8 DESCRIBE WORK tpi d; , ::::;71 �� Enum. Dist. ILocation (Area) FEES COLLECTED }
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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 s esume
to give authority to violate or cancel the provisions of any other state or local la egulatin• constructi./ or the
performance of construction.SEE REV- 'SE SIDE FOR REQUIRED INSPECTIOIi : Plumbing
DATE OF APPLICATION
V / SIGNATURE OF APPLICANT `,-.� I Mech.
SPECIAL APPROVALS SPE IAL CONDITIONS:
NAME DATE
Plan Check
Env. Health 3k1q t() /C441 57?AfIj,
SEPA >-
Planning
O
Mobile Home `.1
,/,� J
Fire Marshall I"1_ ��� - _ • i
Co. Engineer SII'"``‘Q^p^^^�- -1-41 Other(Specify)
Utilities 21/1. .yruktfo4. TOTAL $- ......-
Plans
Plans Examiner
�• I„t - WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Kt- r-D. G � '
Building Tg h�iian --.L...— PERMIT IS NONTRANSFERABLE 07 -06 -83' 618,2''� *57.
0 Q d 1---21V 1
y
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED' PERMIT NO. TOTAL