HomeMy WebLinkAbout1983, 04-25 Permit: 83A-3277 Plumbing FixturesDUMBER APPLICATIQN/PERMIT PERMIT NUMBER
SPOKANE COUNTY —'BUILDING CODES DEPARTMENT P,
NORTH 811 JEFFERSON / SPOKA rOE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
i. E. 11911 - 33rd (Home Show SFR 1983) LEGAL DESCRIPTION —SEE ATTACHED
DESCRIBE WORK Enum. Dist. I Location (Area)
8. PlumbingInstallation - New - SFR FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER OwnershipOF USE CODE
9. UTIL TIES Public ❑ Private ❑ Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" prov:notpresume
ded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinanceshis Building
type of work will be complied with whether specified herein or not. The granting of a permit doto give authority to violate or cancel the provisions of any other state or local law regulating consthe68 00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlumbingDATE OF APPLICATION 04-25-83 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
N ME TE Plan Check
='* *0000
* 7 00`
2 7. 6 _
-25-83
6479 6479
A DA
OWNER
Fixtures @ $4.00 ea. + $5.00 Permit Fee = $73.00
Env. Health
PHONE
1)
1)
Kitchen sink, 1) Dishwasher, 4) Lays, 3) Toilets,
Tub, 2) Showers, 1) Laundry (Washing Machine),
3.
E.M.B. Construction
Co.
1)
Water heater, 3) Floor drains.
922-1654
Fire Marshall
ADDRESS
RE:
ZIP
Actual Set Backs in Feet
Co. Engineer
N. 910 Walnut Spokane,
Wash.
Fee
TOTAL $ 73.00
99201
North South
East west
CONTRACTOR
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
PHONE
Size of Parcel
Zone Classification
Building echnician
Miller's Plumbing483-2025
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DAT I S{J PERMIT NO. TOTAL
E�&'UiA)5
a
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 623 Liberty, Spokane,
Wash.
99207
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Ar;T
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE �] NEW El ALT.
1-1AD'N.
1-1 RPL.
ElMVE.
7,
OF ��c[.,
❑ BLD. PLMB.
❑ MECH.
❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. I Location (Area)
8. PlumbingInstallation - New - SFR FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER OwnershipOF USE CODE
9. UTIL TIES Public ❑ Private ❑ Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" prov:notpresume
ded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinanceshis Building
type of work will be complied with whether specified herein or not. The granting of a permit doto give authority to violate or cancel the provisions of any other state or local law regulating consthe68 00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlumbingDATE OF APPLICATION 04-25-83 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
N ME TE Plan Check
='* *0000
* 7 00`
2 7. 6 _
-25-83
6479 6479
A DA
17
Fixtures @ $4.00 ea. + $5.00 Permit Fee = $73.00
Env. Health
1)
1)
Kitchen sink, 1) Dishwasher, 4) Lays, 3) Toilets,
Tub, 2) Showers, 1) Laundry (Washing Machine),
SEPA
Planning
1)
Water heater, 3) Floor drains.
Mobile Home
Fire Marshall
RE:
1983 Home Show House
Other (Specify) 5.00
Co. Engineer
Fee
TOTAL $ 73.00
Utilities
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
PERMIT IS NONTRANSFERABLE
a
�•� o !t_% 3, 0'0 a. 0
327.72
Building echnician
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DAT I S{J PERMIT NO. TOTAL
E�&'UiA)5