1983, 02-16 Permit: 83A-1114 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
) SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1114-
( / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
�/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS < LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER^//c!/k7 i th toS 89 Al 617 92 a&?/
3
ADDRESS„,( V ZIP Actual Set Backs in Feet * I,0 0 4
O� �+/ S f �/�fC 4 e(c A1�u[7 North 'South East (West 1,, *
CONTRACTOR �\/ II__ ( I PHONE Size of Parcel Zane Classification
tfrY
4. ADDRESS 6 ` 4 /,O 1 ZIPC Type Const. Occupancy Sprinklered
1/ j/f f1/(y•�(�T_ / LLJ1 5 ,J2O Oyes ❑No 0 Req'd. C 2 I 6— 8 3
DESIGNER PHONE Valuation Building Area in Sq. Ft. 17 6 Il 7 9
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE I (VEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK hi
BLD. APLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRIBAWORK i i Enum. Dist. ILocation (Area) FEES COLLECTED
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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
"7.1.---
DATE OF APPLICATION D2'.--/4. SIGNATURE OF APPLICA f Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health v,,1- - r
SEPA )--
Planning /.4_1 y / — r j
Fire Marshall
l `I ts4 — Mobile Home
J
t%
Co. Engineer !�'1�4,S 'X Other (Specify)
Utilities
�u'(3 — / TOTAL $
Plans Examiner
64 .P`r4 -/ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist _ 1
THIS BECOMES A PERMIT.
�r---• 'ding ec Itn , ). 1, D. ./� PERMIT IS NONTRANSFERABLE Pli-43. 6'-8 •3' 1 11],5 z *4 L 0:0 R- J _
-
P MIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL