1983, 12-01 Permit: 83B-2181 Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY -9,1 - f31
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.M' m
1. £ !e.S-IC _2ei tgl
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. 1C i L-k )44 /L, ',6 E..Q'
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
North [South East `West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
%LI.LG j e41 /71.&-7-4 11rrs6 ?-�G--*T/ Y Vd 8 Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
(/'n C.ele,,r' I/6 575 e ' 2e 2. ❑Yes 0N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area Lt M: i 1; n.
5 ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
'M
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. ,
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. rit AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER i
WORK ❑ BLD. ❑ PLMB.�I.MECH. ❑ M.H. ❑ POOL orVariance
Exempt. Required Yes❑ No❑ Number
Received Yes No
DESCRIBE WORK _ n� T r� Shorelines/Flood Hazard Plans Required❑
8. 4.5 "V .5,l,• _>'� Yes Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
PUBLIC❑ SEPTIC❑
PRIVATE❑ SEWER❑ Public❑Private❑
9. UTILITIESO
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 local law regulating construction or the performance
of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �, Plumbing
OWNER
OF ____ A - ,� DATECATION / / i 4 Mech. la
OWNER OR AGENT ;�% � ���
SPECIAL APPROVALS SPECIAL CONDITION : (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE NTLI
Env.Health < ee L) L.4*'
SEPA
Planning /`S / Modular/
MFG.Home >-
Fire d
Prevent. v
Other(Specify) W
Engineer _I
•
a=Utilities IE7
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED l 7 n 1 1 1 * 1800 p
Building
ech ing 171 I N 180 DAYS DATE ISSUED 0 1 8 )S PERMIT NO. 1 8, 1 z ' OTAL