1983, 06-06 Permit: 83A-4832 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM
TO
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
I Unfin. Basement
Job DDRESS
LEGAL DESCRIPTION - SEE ATTACHED
1.
�;Z
No. Baths
No. Stories
No. Rooms
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
7, OF ❑OTHER
1:1 BLD. KPLMB. ElMECH. ElM.H. El POOL
I
Req'd.
Recd.
Not Req'd
WORK
OWNER /
Mike
HONE
320
DESCRIBE W RK
f
3.
_ f S
8
VALUATI N SOURCE/S G S ELECTRIC WATER SEWER Ownership USE CODE
OF
9, UTILITIEPublic ❑Private ❑
ADD SS
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 ordin this
ZIP %
Actual Set Backs in Feet
North South East West
CO TRACTO
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
r
P ONE
ZBAo
Size of Parcel
Zone Classification
4'
AD RESS
(f' At T—`
✓
NAME DATE
Tpt 4"
ZI
Type Const. I
Occupancy
Sprinklered
-]Yes ❑No ElReq'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
I Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE XNEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
7, OF ❑OTHER
1:1 BLD. KPLMB. ElMECH. ElM.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE W RK
f
Enum. Dist. Location (Area) FEES COLLECTED
_ f S
8
VALUATI N SOURCE/S G S ELECTRIC WATER SEWER Ownership USE CODE
OF
9, UTILITIEPublic ❑Private ❑
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 ordin this
Building
type of work will be complied with whether specified herein or not. The granting of ermit not presu
to give authority to violate or cancel the provisions of any other state or local law gu constru tion or the D as
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
tubing
>
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Tpt 4"
Plan Check
Env. Health
5lie- hely-
Planning
SEPA
PERMIT NUMBER
U3* *6500
*6500
A *C C'0 L'
06-06-83
6.4 i 9,
Fire Marshall ..>- `(� ! to c vy'e 1'1W G Mobile Home
/� Qom• �j
L-`a/ysJ 4 , 0Q i Other (Specify)
Co. Engineer f
Utilities
TOTAL $ '
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist J• '— THIS BECOMES A PERMIT.
ing T ni n ( PERMIT IS NONTRANSFERABLE �ip�"iQ 6�'' 8,`3� 48 3. "z
2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED'. PERMIT NO.
*,6 5.00 ° P
TOTAL