1983, 08-02 Permit: 83A-7252 Water HeaterPLAN NUMULK AYYLI%,AI IV IV/YtFiMll PeK lr umeEH
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY -yLri
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 992601(609)456-3676
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
SIREETADDRESS PARCF`L NO.
2. 1. F4 �-
LOT BLACK SUBDIVISION LEGAL DESCRIPTION:
4.
0
cb
Omu re0
Type Coat. parcy SDrinkle
ov. ❑b oRaa a.
04* *1600
DESIGNER
PHONE
wNum t. Valuation
Remsoeleo Valuatlen
Tpal Blog. Fain AM
* ) 6 0 O V
5.
ADDRESS
ZIP
Mein Flap
Upper Flops
Geragelbimpe
Grrenlwmse
A +000
DIANGE OF USE FROM
8.
TO
OM' De* U.. Deck
Fin. Basement Unfin, Basement
72513
7 TYPE 11 NEW 11 ALT. El AD'N. 7d RPL. 71 MVE.
OF 116479
WORK BLD. O PLMB. MECH. ❑ M.M. ❑POOL OTHER
M. Bal
No. Flops
No. Fin. Fomm, No. g Irl gs
08-02-83
vir of Exanpt.
ory4r,oB
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DESCRIBE WOR / �'T—
8-
A ( t l L L J -
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rell
Y.0 Not App11c.0
Rro Remind
Relived ❑
VALUATION I
9•
SOURCE
UTILITIES
IZA�
iC
ELECTRIC
PUBLIC
PRIVATES
SFvOOO
SEWER
G"ar�dp
'080
' FEES COLLECTED
1 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 do" not presume to give au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOO REOUIRED INSPECTIONS
Plumbing
,
SIGNATURE OF APPLICATION _
OWNER OR AGEN A'k-Q� t DATE
Jj CO j
Mcn. /1e7
SPECIAL
APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM,
FINAL
GATE
Plan Check
Eh
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SEPA
Modulml
Ranonnin,
nir,
J I�
MFG. HNMOC
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TOTAL $ '/�, ��
u
Utilities
SEPA
PERMITIS NONTRANSFERABLE
WHEN MACHINE VALIDATED IN THISSPACE,
THIS BECOMES A PERMIT.
Plena
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Bunion,
T.h
IN 180 DAYS
(1 I� +-'[t
M4sluid 2 8 / PERMITITOTAL
.5.216 *Ih00o