1983, 10-03 Permit: 83A-9862 PipingPLAN NUMBER APPL ICAT ION /PERMIT
SPOKANECOUNTY— DEPARTMENT OF BUILDING&SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 88288 / (50) 458-3875
APPLICANT: COMPLETE NUMREREDSPACFS— PRFSSHARDTO MAKF3COPIFS
PER %N UM ER
-
1. E. 121 .\ \c7T 1A
LOT
BLOCK
su eolvlsloN
IDEGAL DESCRIPTION:
2.
OWNER
PHONE
PHONE
3. G , A. 'TVcz.Ti
�1710-Q o1
MAILINGADDRESS
ZIP
ActualaideacklInFearo,
61C DLeZ^_
an South Emt weal
CONTRACTOR
LICENSEE%PIREs
PHONE
elmMPsMi
Zone Clmlllnlion
rieyantlel0
4. Ca �EN� fYYCCJ.
- 35RI
I
Cammerclai❑
I
ADDRESS
ZIP
Tpe Coral,
Ocuplacy drunklarM
E 1310 � i'c sY.�c�.
qq
I CY® ONo ❑Reg'E.
DESIGNER
PHONEFbw
CmaL VdluetlDn
RemMBIM Valuation
Total Bldg. Fiver Area
5.
AOOREs$
ZIP
Myn Flw
Upper Flcora
Gvagal Storage
Greenhouse
CHANGE OF USE FROM
TO
Coaic Dick U.. Deck
Fin. Baement
Untin. Basement
s.
I
I
/
Na. Be.
No, Flops
Na. FIn. Rcome No. Cal lllnpa
TYPE Cl NEW ❑ALT. ❑ AD'N. El RPL. ❑ MVE.
i OF U OTHER
WORK D BLD. [IPLMB. P MECH. ElM.H. El POOL
LasiIfL of E.«nn'
rapuirec veep Na❑ Ininter
or Via.
Raelvd YM, Noo
DESCRIBE 8•
Sntllntl/FloodHawn
R. Required
.`
t1{i5 i.lel Nie V�Ce ^{UTtAQE—r C2`i(.� t{C2
Ya❑ Not Appi3O
Receivee0
VALUATION
SOOUFCE
GAS
ELECTRIC
I PUWATER I BLIC❑ SEPTIC
LMn 1p
FEES COLLECTED
9.
UrILITI Es
PRIVATE, SEWER
PudIC OPNvete❑
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 does not presume to give au-
Building
thority to violate or Cancel the provisions of any other state or ID law regulating construction or the performance
ofconstruction. SEE REVEBIIESIDE FOR REQUIRED INSP5eMJN
Phorbin,
SIGNATURE OFAPPLICATION
OWNERORAGENT DATE
Mart (2 -fin
SPECIAL
APPROVALS
SPECIAL CONDITI N51 E REVERSE SI DE FOR NOTICE) allaaaaaaaaaaaaaaaaaaaaad
PRELIM.
FINAL
DATE
Fan Check
Em. Hmllh
SEPA
Plannlnp
M
MFG. FG. Ho Home
>
Fire
Prevent
C
C
Engineer
OIMr ISpaltyl
y
u
Wilda
U
IZ�
TOTAL $
sEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plain
PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Exam.
PERMIT 13 NULL AND VOID IF WORK HAS NOT COMMENCED
`�
B06,[
IN 180 DAYSTadh
+ 0
3 —'u 5 SPD L a �TOT'AL
3
DATE IOEE ll PERMIT