1983, 05-05 Permit: 83A-3702 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY `B-S A 3-7a Z
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. k.
.E 3 1 �'
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
/ PHONE POE
3. o/W k..5-t-/+-\, Eh vt I Ct V\ PU -2,6,7
/M'�AILING ADDRESS 1"� ZIP r Actual Set Backs in Feet to:
/� / ,i/e) 2 /724) 3 North [South [East I West
CON -ACTOR %` • LICENSE EXPIRES PHONE _ Size of Parcel Zone Classification Residential❑
7-� "''S4Je.) Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinklered
i ❑Yes ❑No ❑Req'd.
i:>2V /ll A.. >,,..l f % v 1
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
6 Ll i
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPENEW ❑ ALT. CI AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ; LMB. ❑ MECH. ❑ M.H. ❑ POOL oorertifianExempt. Required Yes❑ No❑ Number
Received Vest: Non
DESCRIBE WORK Shorelines/Flood Hazard Plans Required 0
8. ( n tvit ( F t X i-v Yes❑ Not Applic.0 Received 0
VALUATION SOURCE GAS ELECTRIC WATER❑ SEPTAL O Ownership FEES COLLECTED
9• UTILITIES PUBLIC
PRIVATE 0 SEWER❑ Public 0 Private 0
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 i
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 provisions of any other state or local law regulating construction or the performance /c r �!c- 'X��� —
of construction.SEE REVERSE SIDE F• • - 'UIRED INSPECTIONS Plumbing /G -
APPLICATION ����
SIGNATURE OF ♦ - DATE
OWNER OR AGENT ������`—� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health To` f -te5
SEPA
- Z.--44_,„." i
Planning ,
Modular/
/ - 1 jj MFG.Home
Fire
Prevent. l — 5 Gm;co.a-v- c ,
Other(Specify) V _ Q2 f t.)
Engineer ��:t si h J
` Li.
Utilities 1 — V:s��K.%r=S Lr�- [,L _
1— �4.)•cs ,t. G �" '-
• TOTAL $ '
SEPA / j
- ei) le, /74« 74-6" 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 z 7
Building
ing ! IN 180 DAYS DATE ISg� 0 5 - PERMIT Nd. / 0' z * 5.0 TOTAL
Vbk I U