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1983, 09-30 Permit: 83A-9744 Plumbing Fixtures
PLAN NUMBER APPL ICAT ION /PERMIT (� SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANEyWASI JINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS /tea ell oZS Y -L PARCEL NO. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. OWNER ., 14�) Sib PHONE PHONE MAILING ADDRESS ZIP Actual Set Backs in Feet to: ( 5i vG %w"= k , U Fire Prevent. North I South East West Coo��ITRACTOgg LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ❑ C7©40 5 c'.h.- c rrh vre�¢cr f.E - .2'f-3�z3 Commercial ❑ 4 ADD 13x.3 Z 7il7 + Type Const. Occupancy Sprinklered Dyes ONO ❑Req'd. i�0�2 T5- DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement s. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE 0IEW ❑ ALT. El AD'N. El RPL. ❑ MVE. 7. OF ❑ OTHER ❑ BLD. -'�E] PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ NOD Number WORK or Variance Received Yes❑ Non 8 DESCRIBE WORK 7 ��X7UL c f Shorelines/ Flood Hazard Plans Required ❑ Yes❑ NotAppiic. ❑ Received ❑ VALUATION I SOURCE OF GAS ELECTRIC WATER PUBLIC ❑ SEWAGE SEPTIC ❑ I Ownership FEES COLLECTED 9 PRIVATE ❑ SEWER El public ❑Private ElUTILITIES 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 work will be complied with whether ified herein or not. The granting of a permit does not presume to give au- Building thority to violate or cancel the pr visions f any other state or local law regulating construction or the performance of construction. SEE REVER IDE FO REQUI INSPECTIONS plumbing SIGNATURE OF APPLICATION 9�7 OWNER OR AGENT DATE - Mach. SPECIAL APPR ALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE /.I -' C Env. Health /'6-4S f d5 SEPA Planning I Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building :y IN 180 DAYS Modu ar/ MFG. Home Other (Specify) PERMIT NUMBER ( 5i vG %w"= k , U Fire Prevent. 71 Engineer Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building :y IN 180 DAYS Modu ar/ MFG. Home Other (Specify) PERMIT NUMBER �+ I TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 77 �I /I DATEY 9UED3 - 8 3 PERMIT N t t z * 3 3. O O *drAL 71 �+ I TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 77 �I /I DATEY 9UED3 - 8 3 PERMIT N t t z * 3 3. O O *drAL