1983, 10-14 Permit: 83B-439 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPAF TMENT OF BUILDING &SAFETY _ 1Di: '437
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT:COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS ` PARCEL NO.
1. j 7/e 0 67— e,
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OW R PHONE PHONE
3 / C-<2e-t..-/ 9.2 Y-am
MAILING ADD ESS ZIP Actual Set Backs in Feet to:
North South East l West
COWT1ACTOR . 1 �9 LIC NSE EXPIRES PHONE �' Size of Parcel Zone Classification Residential
, 1 -fc.-r1 l.A..)-0—c .-�71A-0 L✓ `8 7 ,,"q Z, --/72-Y Commercial❑
4. SS ZIP Type Const. Occupancy Sprinklered
ri `"30 �� ,LGH,✓ C�� �j
Oyes ❑No ❑Raga.
DE$1�iiN R PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. Ao ees PtYNOLDS FUt�NAU ;�
N. 6303 SUTHERLIN CO.OZIP Main Floor Upper Floors Garage/Storage Greenhouse
SPOKANE. WA 919G208 - I i,
CHANGE OF USE FROM Ph: 327-1924 Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. _
�
7. No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPEO❑ NEW eLT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ OTHER
WORK ❑ BLD. El PLMB. ❑ MECH. ❑ M.H. [7 POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes No
A
SCRIBE WORKy1 /r r, /f Shorelines/Flood Hazard Plans Required❑
8. {0✓y,... -- c�~l 7-.—i"g-' i3O_,A k /I , it.); =yvf _ Yes Not Apollo.❑ Received ❑
VALUATION SOURCEOGAS ELECTRIC PUBLICO SEWAGE
EPTIC O Ownership FEES COLLECTED
9 UTILITIES w/ PRIVATE❑ SEWER❑ Public❑Private❑
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 SPECTIONS Plumbing
SIGNATURE OF -..--of � _� APPLICATIOWO /¢
OWNER OR AGENT + DATE Mech.
SPECIAL APPROVALS SP I' CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home
Prevent. d
O
Engineer Other(Specify) t.)
W
(I J_
Utilities /�j _� LL
_ TOTAL $` /
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED n - a. } c� o J
Build ng 104 IN 180 DAYS i U _ 1 - r -5' 9 1 * 1 9,0 0 a
Tech. r DATE ISSUED PERMIT NO. TOTAL
J