1983, 05-11 Permit: 83A-3957 Pool Heater, Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NMBER
(il SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY 77 `))257- �r7
./ NORTH 811 JEFFERSON/SPOKANE,WASHINGTQN 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREEIADDRESS 4- �- P-"y PARCEL NO.
LOT BL CK SUBDIVISION . LEGAL DESCRIPTION:
2. 1 N!1.1.` � , -2.140 A30 -
3. MING ADDRESSi fl7eC J g' ONE
'2+-3'2)1, Z PONE Actual Set Backs in Feet to:
- `2-71 4" z- 7 "✓, NorthI z
South East West
CMT4b LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential El
4. Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Reg'd. 3 '
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Fioor Area ` _ 1 __
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse ! '
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. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
ID OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Vest: No❑ Number
or Variance Received Yes Non
DESC IBE WyORK b y� I Shorelines/Flood Hazard Plans Required❑
8. �u L! �• [ i► (t V Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCEOAS ELECTRIC PUBLIC WATER SEPTIC❑ Ownership FEES COLLECTED
9 UTILITIES PRIVATE El SEWER❑ Public❑Private❑ I.
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 �j ��
OWNER OR AGENT,.."7/2, APPLICATION
DATE �' !/ r 'V Mech. _j�_�_
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) "JJ
PRELIM. FINAL DATE Plan Check
Env.Health /(-2. 0 r Y I "7 . '77 0
rIP1'V0 t iI ) SEPA
Planning C '7 0
L- — ---.p Modular/
Fire MFG.Home
Prevent. d
O
Engineer Other(Specify) V
W
J
Utilities IC9 LL
SEPA TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam.
PERMIT NULL AND VOID IF WORK HAS NOT COMMENCED ,(; 5 - 1 l -S 3 5 9 5,7 z * 1 9.0 0 ° 171-
Building IN 180 DAYS
Tech. 54/ DATE ISSUED PERMIT NO. TOTAL