The URL can be used to link to this page

1983, 04-04 Permit: 83A-2560 Plumbing FixturesPLAN NUMBER APPLICATION /PERMIT PERMIT NUMBER . SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY"��' - NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. I n OWNER PHONE PHONE r- MAILING ADDRESS ZIP Actual Set Backs in Feet to: North South East West CONTRACTO LICENSE EXPIRES PHONE Size of Parcel Zone Classif ication Residential L1�� S9- -'57� Commercial ❑ 4. ADDRESS ZIP Type Const. Occupancy Sprinklered Cfc1 x..04- ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area J. 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 TYPE NEW ElAD'N. ❑ RPL. ElMVE. VOLT. ❑7. OF OTHER orvarianExempt. Required YesNo❑ Number ElBLD. LMB. ❑ MECH. ❑ M. H. ❑ POOL WORK Received Yes 1-1 No❑ DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑ 8. F11C."[1,L&C--> Yes❑ Not Applic. ❑ Received ❑ VALUATION SOOUFCE GAS ELECTRIC PUB IC ❑ SEPTIC EATER l Ownership FEES COLLECTED 9• UTILITIES PRIVATE ❑ SEWER ❑ Public ❑Private ❑ 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 to give au- thority to violate or cancel the provisions of any other sta or local law regulating construction or the performance ` of construction. SEE REVER DE FOR REOUIRED MSPECTIONS Plumbing SIGNATURE OF J APPLICATION OWNER OR AGENT DATE Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE 3 -70 Env. Health G� e--AV� �s SEPA Planning L LA P3 Modular/ MFG.Home y. Fire ( 5 t{©«a CL Prevent. O w Engineer Other (Specify) W_ S'-t ra W u � $'Pie J Utilities t0 RTP— LLL ��i-CC+R "�ILi+lry TOTAL $ SEPA WHEN MACHINE VALIDATED IN THIS SPACE, PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Plans Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS— Tech. A 4 — 8 3 � 6. Z * 5 3, O 0 0AL DAT UE PERMI`144.