1983, 07-19 Permit: 83A-6657 Plumbing Fixtures PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY '',, ' -(-x'57
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HAO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. //G 0A /4'.'
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. (A.).zQ,
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
North South East I West
NTRACTOR {{ LICENSE EXPIRES PHONE { Size of Parcel Zone Classification Residential 0
4. RN 04.1) �nVi$C IT �� >- Z r 73 Commercial 0
DDRESS L/ 7 / n / / '�/,,, (�/� Type Const. Occupancy Sprinklered
OX,3 7.J V zRA DAAT.7 w�" 1 t.3/ ❑Yea 0N ❑Req a.
DESIGNER / PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area U 3 * * 3 r/ 0
5. ADDRESS III ZIP Main Floor Upper Floors Garage/Storage Greenhouse * 3 7. 0 0'<.
CHANGE OF USE FROM TO
Cover Deck Uncv.Deck Fin.Basement Unfin.Basement r * C
6. 665.6_
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 11,41'€W ❑ ALT. ❑ AD'N. ❑ Rik. ❑ MVE. 0 7- 1 Q- 0 3
7. OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL Ceviufii of Exempt. Required Yes No❑ Number C It 7 9
or Received Yes No❑
DESCRIBE< K / j I (2) Shorelines/Flood Hazard Plans Required 0
8. 4 Yes Not Applic.0 Received 0 •
VALUATION SOURCE GAS 1 EL CTRIC PUBLIC SEPTIC GE Ownership FEES COLLECTED
9• UTILOITIES PRIVATE❑ 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
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 locallaw regulating construction or the performance g7
of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbin
SIGNATURE OF a APPLICATI N
�'OWNER OR AGENT DATE /8 '( //g3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR N ICE)
Plan Check
PRELIM. FINAL DATE ,
Env.Health
il - / /� r/` SEPA
Planning s7Ci^^ // /1' Modular/
/- �f/+ y�l MFG.Home )-
Fire .�J� a
Prevent. { _ / ,6 a_
/ CCC/// ^ Other(Specify) V
Engineer A��/y/"' t�/�^f/N J
Utilities r / TOTAL $ __
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. V PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building ' IN 180 DAYS 9S ' ^D19 -8 3 �,� 5.7 z * 3 7. Q JTech. DATE UE PERMIT COAL
iJ