1983, 01-06 Permit: 83A-0108 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT UMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT (Ob
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
.06—. /4/6t LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK UBDIVISION PARCEL NUMBER/S
2.
OW y PHONE
3. t' �.
- .i /' 611W44 r,Q re--£7. .9oZ�"-),�
DDRESSZIP jJ Actual Set Backs in Feet 0 3 * * 1 7. 0 0
Al' gib an r t- 1-EsGt...4) o. e,/IS dI' 'Pal' North !South East 'West * 1 7 0 0 6
CO�ACTOR PHONE Size of Parcel Zone Classification
4. n , !JB1'' a; RIA-)44—iL r A.,/. 6g ;S®b / . 1 * 0 U U C
Type Const. Occupancy Sprinklered
V 19,SS e k / ZIP , ..2 ❑Yes ❑No ❑ Req'd. 1 U. _
DESIGNER / PHONE Valuation Building Area in Sq. Ft.
01 — 06—`33
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 4 7 0 _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,��,// No.Baths No. Stories No. Rooms No. of Dwellings
U?NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER -
WORK
0 BLD. ,PLMB. ElMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Dist. I Location (Area)
$ & PT ) l Lk re
.S I FEES COLLECTED
'1"
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 presume
to give authority to violate or cancel the provisions of any other state or local law r-tulating construction or the /7 ,9�/7
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION / Plumbing Cf
DATE OF APPLICATION / /3 `g3 SIGNATURE OF APPLICANT -.x4.4 . „/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEPlan Check
Env. Health / L toer
1 SEPA o_
,�.-
Planning 1 / 1 —
/ `4 O
U
Fire Marshall Mobile Home w
J
Li
Co. Engineer / Other (Specify)
Utilities TOTAL $ //'v/d
Plans Examiner
, WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
wilding Te ni an PERMIT IS NONTRANSFERABLE —i I I 1.0.88 z * 1 7. 0 0 d IJ- -
\1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL