1983, 04-05 Permit: 83A-2598 Plumbing FixturesPLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
Z pct f�
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
NAME DATE
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
Fixtures @ $4.00 ea. + $5.00 Permit Fee =
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Plan Check
JOB ADDRESS
Env. Health
i. E. 12016 - 33rd LEGAL DESCRIPTION — SEE ATTACHED
1)
1)
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
_ (n G
2
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o
OWNER PHONE
.k r 7 (,. O Y
3. W.L.B. Design & Construction 466-4704
I
Floor drain.
ADDRESS
-
ZIP Actual Set Backs in Feet
Box 64, Nine Mile Falls, Wash. 99206 North South
c':)
East West
CONTRACTOR PHONE Size of Parcel Zone Classification
Memo:
Miller's Plumbing 483-2025
3
4.
5.00 U -
ADDRESS ZIP Type Const. Occupancy Sprinklered
1 �7 �
6479. / �'
E. 623 Liberty, Spokane, Wash. 99207 ❑Yes ❑No ElReq'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
Fee
5.
Utilities
ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
I
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ALT. AD'N. El RPL. El MVE.
[� ❑❑
7, OFy 1-1OTHER
WORK 1-1 BLD. LA PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8• Plu binq Installation - New - SFR
PERMIT IS NONTRANSFERABLE'
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
04 0'5=8:13
OF
9. UTILITIES Public ❑ Private ❑
Building chnician
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
DATE ISSUED
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 52.00
DATE OF APPLICATION 04-05-83 SIGNATURF nF APPI ICANT LC- ni2la ��! ��/1 ���� Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
13
Fixtures @ $4.00 ea. + $5.00 Permit Fee =
$57.00
Plan Check
Env. Health
1)
1)
Kitchen sink, 1) Dishwasher, 3) Lays, 1)
Shower, 3) Toilets, 1) Laundry, 1) Water
Tub,
heater,
SEPA
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o
Planning
1)
Floor drain.
Mobile Home
- w
J
Fire Marshall
Memo:
Bill Brusseau, Home Show House 1983.
Other (Specify)
5.00 U -
Co. Engineer
Fee
57.00
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
PERMIT IS NONTRANSFERABLE'
04 0'5=8:13
3 0 00 J _
2'59.82 *57,00I-
Building chnician
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL