1983, 04-18 Permit: 83A-3011 Plumbing FixturesPLAN NUMBER
ZIP
APPLICATION/PERMIT
PERMIT NUMBER
Storage
CHANGE OF USE FROM
SPOKANE COUNTY - BUrLDING CODES DEPARTMENT
Area of Decks
Finished Basement
Unfin. Basement
6.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
,��
TYPE IB'NEW ❑ALT. 1-1 AD'N. El RPL. 1-1 MVE.
No. Baths
JOB ADDRESS
ff—//,.,
..�
LEGAL DESCRIPTION — SEE ATTACHED
7, OF ❑ OTHER
" �
CERTIFICATE
Req'd. I
LOT BLOCK SUB (VISION
PARCEL NUMBER/S
WORK ❑ BLD. 1-1PLMB. ElMECH. ❑ M.H. ElPOOL
2.
I
DESCRIBE WORK
OWNER
8 /
PHONE
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
I
Single $
AD S
_
ZIP 7lr� Actual Set Backs in Feet
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Y
* U C U
CONTRACTOR
L
North South East West
PHONE Size of Parcel Zone Classification
Plumbing
—/& 3 ��C_ '�
Mech.
ADD ESS
DATE OF APPLICATION 1 Ey SIGNATURE OF APPLICANT
ZIP Type Const. Occupancy Sprinklered
❑Yes -]No ❑
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEPlan
Env. Health j �,� �.._ ��/Y
Req'd.
Planning /�/�`%/J //��y�• �y q
SEPA
DESIGNER
PHONE Valuation Building Area in Sq. Ft.
Fire Marshall o? ✓
Mobile Home
Co. Engineer / y
t �
Other (Specify)
Utilities
ADDRESS
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
,��
TYPE IB'NEW ❑ALT. 1-1 AD'N. El RPL. 1-1 MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
CERTIFICATE
Req'd. I
Recd.
Not Req'd.
WORK ❑ BLD. 1-1PLMB. ElMECH. ❑ M.H. ElPOOL
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8 /
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
I
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 ordinances governing this
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
—/& 3 ��C_ '�
Mech.
DATE OF APPLICATION 1 Ey SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEPlan
Env. Health j �,� �.._ ��/Y
Check
Planning /�/�`%/J //��y�• �y q
SEPA
Fire Marshall o? ✓
Mobile Home
Co. Engineer / y
t �
Other (Specify)
Utilities
TOTAL $ dG'Cs
Plans Examiner
/
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist /
THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE
0 4'x,11 8 �8 '3
3 0 L.1 °Z
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO.
>t 5 3.0 0 20 -
TOTAL