1983, 11-16 Permit: 83B-1782 Mechanical Fixtures PLAN NUMBER . . APPLICATION/PERMIT PERMIT NUMBER
: :SPOKANE'COUNTY — DEPARTMENT OF BUILDING & SAFETY FO i17R2
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/ (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS ZA, PARCEL NO.
R
LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
O NER / PHONE PHONE
MAILING ADDRESS ZIP Actual Set Backs In Feet to:
..lam/-...1 North (South East I West
CO RACTOR t LICENSE XPIRE PHONE. "I Size of Parcel Zone Classification Commercial❑ r-
4. L '' ( A_.i,f -14,1 .�.,✓ 4{ = 4322
ADDRFySS _ �� : Z _ • Type Const. Occupancy Sprinklered `.
'� 5 ����) � ❑Yes ONO ❑Req'd.
DESIGNER 4/7
PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area5. ADDRESS 7A-- ZIP Man Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 0 NEW E ALT. 0 AD'N. 0 RPL. 0 MVE.
7• OF ❑ OTHER
WORK
0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CeVaiian� Exempt. Required Yes No❑ Number
or Received Yes El No CI
DESCRIBE WORK/1 •/} Shorelines/Flood Hazard Plans Required❑
$.,j '1n Ley is ,i /-�L,1j.7',,,C ' /I, IL C r--�.- Yes❑ Not Applic.❑ Received D
VALUATION SOURCEfUGAS / ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. y/ PRIVATE O SEWER O Public El Private El
UTILITIES
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
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home >-
Fire a'
Prevent. v
Engineer Other(Specify) W
y C� LL
C?
Utilities ) _._
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
Building IN 180 DAYS cA � _ 6
_8
UE PERMI 1.474, 2 z * 1 9. 0 0 OrOIAL