1983, 01-10 Permit: 83A-0191 Bathtub PLAN NUMBER APPLICATION/PERMIT PERMIT�NUMBER
''' (312(
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE LIMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
(' .. LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNS //��f PHONE
3. c ' �.� .C'Cit .: ?%=S"�1
ADDR SS \� Z�Iip, Actual Set Backs in Feet
, c,4l' / q North 'South East 'West 0 3 it * 9. 0 0
CONT CTOR PHONE.�t,.17` Size of Parcel Zone Classification
, -C- ' -/r/c%,..4-7,7v
* 9�0 0 L
4. A $. /--)
Type Const. Occupancy Sprinklered t.
6 '7) 7l , ❑Yes ❑No ❑ Req'd. r' * 00o c.�
DESIGNER PHONE Valuation Building Area in Sq. Ft. 1 9. 0:,?
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 0 1 — 1 0—8 3 _
6,47 ^:
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. D AD'N. 0 RPL. ❑ MVE.
7. OF -....
F / ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. LMB. ❑ MECH. ❑ M.H. ❑ POOL
n of EXEMPTION
DESCQI_� V /RK /
g/ Enum.Dist. Location (Area)
8. LI' (�G '"f FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATeR SEWER Ownership USE CODE
OF
9. UTILITIES /`jam/ Public 0 Private 0
Single $
I hereby certify that I have read and examined this application and have read "NOTICE" provisions included _
on reverse side, and know the same to be true and correct. All provisions cif laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a perTit does not presume -)
to give authority to violate or cancel the provisions of any other state or kcal law regulat,g constr ion cr the g
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPE 'IONSPlumbing
DATE OF APPLICATION ' ' /� SIGNATURE OF APPLI ••�' .4 ,&_i �`I 3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: ,
NAME DATE L. Plan Check
Env. Health
SEPA
r,
Planning U
Mobile Home w
Fire Marshall
s U-
Co. Engineer Other(Specify)
Utilities TOTAL $ Cly
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
uildi • -chnicia * 01. '711
;a 4
B
�, PERMIT IS NONTRANSFERABLE 0 7. `11 0—8'3 19,1 z *9.0 0 a P.
`�' 4' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL