1983, 04-26 Permit: 83A-3316 Plumbing FixturesLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINbTON 99260 / (509) 456-3675
TYPE ,EI -NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF1:1OTHER
WORK 1:1BLD. pLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8 j FEES COLLECTED
VALUA N SOUR E AS ELECTRIC WATER SEWER Ownership USE CODE
9. 1UTILITIES1OPublic ❑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 ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. y SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION y12 L Il(/3 SIGNATURE OF APPLICANT Iy/" -�� -t' ` J'T 'L✓ Mech.
SPECIAL APPROVALS
NAME DATE
ning
Marsha
lities
Pians Lxaminer
SEPA Checklist
SPECIAL CONDITIONS:
Z L 4GA
f 5 /4'e . cv-i k
< /� u-1 ;m C; ,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specii )
n0
TOTAL
PERMIT NUMBER /
- -?1�3I`(
u3* ��700
Ini * i.006
3 3 1.5
04-26-83
6[179,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04—I N-83 33L625
DATE ISSUED PERMIT NO.
37.0'0x- —
TOTAL
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
q Z
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBDIVISION
OWUK R
PHONE
3.
DD ESS
ZIP
Actual Set Backs in Feet
North South
East West
C RAQTO
PH NE
Size of Parcel
Zone Classification
Y6
4'
DRESS
z�P
Type Const.
Occupancy
Sprinklered
/
�r?' 5-72,C, y,—
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths No.
Stories No Rooms
No. of Dwellings
TYPE ,EI -NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF1:1OTHER
WORK 1:1BLD. pLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8 j FEES COLLECTED
VALUA N SOUR E AS ELECTRIC WATER SEWER Ownership USE CODE
9. 1UTILITIES1OPublic ❑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 ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. y SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION y12 L Il(/3 SIGNATURE OF APPLICANT Iy/" -�� -t' ` J'T 'L✓ Mech.
SPECIAL APPROVALS
NAME DATE
ning
Marsha
lities
Pians Lxaminer
SEPA Checklist
SPECIAL CONDITIONS:
Z L 4GA
f 5 /4'e . cv-i k
< /� u-1 ;m C; ,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specii )
n0
TOTAL
PERMIT NUMBER /
- -?1�3I`(
u3* ��700
Ini * i.006
3 3 1.5
04-26-83
6[179,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04—I N-83 33L625
DATE ISSUED PERMIT NO.
37.0'0x- —
TOTAL