1983, 08-17 Permit: 83A-7884 Pool HeaterPLAN NUMBER
No. Baths
APPLICATION/PERMIT
No. Fin. Rooms
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
TYPE El NEW ❑ ALT. El AD'N. 11 RPL. ❑ MVE.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS
PARCEL NO.
LOT BLOCK
SUBDIVISION
Required Yes❑ NOD
LEGAL DESCRIPTION:
2.
or Variance
Received Yes❑ No❑
DESCRIBE WORK
PHONE
PHONE
`� ,, t
V C./ /V C
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOURCE
LING ADDRESS
ELECTRIC
WATER
BLIC El
ZIP
Actual t Backs in Feet to:
!�
2s—
9
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North I South East West
T�y�CtTOR
1O
SEWER ❑
LICENSE EXPIRES
,
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
4. //R/
T ,
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 a provisions of any other state or local law regulating construction or the performance
of construction. SEER E 'SE SIDE FOR REQUIRED IN PEC TIONS
ADDREaS
�✓
D
Y � a
Mach.
Z�
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
SEPA
Modular/
Planning
J. ADDRESS
ZIP::
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unf in. Basement
s.
�i,
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building8 IN 180 DAYS
Tech.
TOTAL $ 11 cx) I
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
%4
PERMIT NUMBER
K\--7e>54
*i70G
* i 7.Qoc
*C
7}93__
64 n
DATEQS5k1EDL 7 —8 / PERMANS. o• 4 z * 17, O O SAL
IZ
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W
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No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE El NEW ❑ ALT. El AD'N. 11 RPL. ❑ MVE.
7• OF❑ OTHER
Certifi.ofExempt.
Required Yes❑ NOD
Number
WORK E]BLD. ElPLMB. IRI-'MECH. 11M.H. 21�001_
or Variance
Received Yes❑ No❑
DESCRIBE WORK
Shorelines/ Flood Hazard
Plans Required ❑
8.
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
WATER
BLIC El
I SEWAGE
SEPTIC El
Ownership
FEES COLLECTED
9
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UTILITIES
LI
�'
RtIVATE ❑
SEWER ❑
Public ❑Private ❑
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 a provisions of any other state or local law regulating construction or the performance
of construction. SEER E 'SE SIDE FOR REQUIRED IN PEC TIONS
Plumbing
SIGNATURE OF APPLICATION.—/�.-��
DATE
Mach.
OWNER OR AGENT
Plan Check
SPECIAL APPROVALS
PRELIM. FINAL DATE
�
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)4'44�
Env. Health
SEPA
Modular/
Planning
MFG. Home
ire
Prevent.
/
�i,
Other (Specify)
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building8 IN 180 DAYS
Tech.
TOTAL $ 11 cx) I
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
%4
PERMIT NUMBER
K\--7e>54
*i70G
* i 7.Qoc
*C
7}93__
64 n
DATEQS5k1EDL 7 —8 / PERMANS. o• 4 z * 17, O O SAL
IZ
O
V
W
J
LL