1983, 03-24 Permit: 83A-2201 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT
/ SPOKANE COUNTY -;7BURL.DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 88i-5— E "—f—t LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION I PARCEL NUMBER/S
OWNER
PHONE
/�—
THIS BECOMES A PERMIT.
03.E 24=8°3`
2�2 0.1 z
DATE ISSUED
3.
ADDRESS
ZIP
Actual Set Backs in Feet
North South
East West
CONTRACTOR
P ONE
Size of Parcel
Zone Classification
�e,L0 z'�rfve,.,f
a �3
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
%.7 Q _
�f
pG(
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
No. Baths No. Stories No. Rooms No. of Dwelling
TYPE NEW ❑ALT. 1-1 AD'N. 1-1 RPL. 1-1 MVE.
7. OF ❑ OTHER
WORK ❑ BLD. IjXPLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 7V1t .9�3 FEES COLLECTED
VALUATION1 SOURCE GAS ELECTRIC I WATER I SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES Single $
1 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 work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the y/'Ar—
performance of construction. SU R SE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT �✓�� Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
a w &,•
7-03
� Sc�
/ LCJ !.(.
nicia PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
J* *41.00
*4L00
Fl
22 2 n0_
0.-24-83
6,47Q.
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
03.E 24=8°3`
2�2 0.1 z
DATE ISSUED
PERMIT NO.
a
*41.0:0°F _
TOTAL