1983, 10-21 Permit: 83B-716 Pool Heater, Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY g-J? - '-71
/l) NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
i
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS _ PARCEL NO.
1. 5 . 12g. -2, 2.---3P-2
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
3. OWN If���" 1 re L.1 � "z .-1)-02,-.2-
PHONE NE
MAILING ADDRESS ADDRESS ZIP Actual Set Backs in Feet to:
V" - O2- ---2, 7--1-12 North [South East I West
4.
CONTRACTOR i e` rz LICENSE EXPIRES HONE - 7 Size of Parcel Zone Classification Residentialal O
ADDRESS„ r _ti--' IZ P / Type Const. Occupancy Sprinklered
DESSIIGNER371 �� PHONE ' New Const.Valuation Remodeled Valuation ❑Notal Bldg.eFloor Area
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
7
TYPE �C3 NEW ❑ ALT. ❑ 'N. ❑ RPL. ❑ MVE.. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB.'❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
orVariance Received Vest: No❑
DESCRIBE WORK A 111W3:1-1 Yes0 Shorelines/Flood A Hazard Plans Required❑
8. PCXR .� r " ' '2r�1� �� + ���11�G� Yes❑ Not Applic.0 Received ❑
VALUATION SOURCEOG ELECTRIC PUBLIC 0 SEPTIC 0 GE Ownership FEES COLLECTED
9 OF
PRIVATE❑ SEWER❑ Public 0 Private 0
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
- dA f . �—__ DATE _L_— 2 i Mech.
OWNER OR AGENT � /
SPECIAL APPROVALS SPECT CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home >-
Fire a
Prevent. p
V
Engineer Other(Specify) W
J_
Utilities L<7 - W
TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building is IN 180 DAYS , 7, 7 16 6 * 19, 0 0a. _i
Building
43 ,/ I Sol o"2 1 — U - PERMIT NO. TOTAL
y�^ DATE I