1983, 08-12 Permit: 83A-7734 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 0-9A -7731--
C.I
NORTH 811 JEFFERSON / SPOI�i�IVE,'WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. j`/j•6 _ /7 LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER / PHONE
3. .7)q/./re /4/.7 7/ f 7 7 ''6_
ADD ESS // IP Actual Set Backs in Feet
77././ S404/ Rdit5( North JSouthEast (West •
CONTRACTOR PHONE Size of Parcel Zone Classification
4. . /rre/`sU,V P/ 7
A RESS ZIP Type Const. Occupancy Sprinklered
'i /S66, 7,,7,2 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 3 * * 4 9,0 0
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage * 4 9, L 0 u _
h. * 0 iC 2
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 7 73.32
TYPE ,�,r�te-- No.Baths No. Stories No. Rooms No. of Dwellings
ISNEW D ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION 0 S;— 1 2_8 3
DESCRIBE WORKi Enum. Dist. Location (Area) T
8. �U/77//e/ 1
1 "-A, IT-I 5- . FEES COLLECTED b 4 7 9
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El Private ❑
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 INSPECTIONSPlumbing
DATE OF APPLICATION / '6&3 SIGNATURE OF APPLICANT 4041ri /_ -/..CJ Mech.
•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE1470/41757
r��^� aaarr .y-��+ '� 1 Plan Check
Env. Health —/v/�� r // // /140":4
SEPA >'
Planning / d
a / O
G/ U
/
Fire Marshall / 5f/U,G!/e./- Mobile Home LU
ii
r
Co. Engineer .-- a,././e1 — Other(Specify)
Utilities / — -,-;;.4//1- TOTAL $ /f®e,
Plans Examiner
/ — Pee/ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.. Buil. an r / PERMIT IS NONTRANSFERABLE 0 8 L"1 '2:`� 3 7 7 3',4 z * 4 9 a
O'-:,- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL