1983, 04-05 Permit: 83A-2608 Plumbing FixturesNUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
s'ORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRES
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S
OWNER j n
J
PHONE
I
3. .jj
Co. Engineer
9
ADDRESS
ZIP
Actual Set Backs in Feet
`JS .
J �/i I,�
, �f�
North South East
West
CONTRAOR
^
PHON�
Size of Parcel
Zone Classification
f
Plans Examiner
4.
��
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
ADDRE
9:2
ZIP
99
Type Const.
Occupancy
Sprinklered
.Q .
0 4L` 0 5 2'6 0.8 z°
DATE ISSUED PERMIT NO.
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
I
TYPE NEW 1:1 ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK BLD. )�I PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK R
Enum. Dist. Location (Area)
8. lel. I�% �
�j
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public El Private ❑
Single $
I 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 granE[a)r
a permit does not presume
Building
to give authority to violate or can el t e provisions of any other state or local
r the
gulati;4y
performance of construction. SEE EV RSE SIDE FOR REQUIRED INSPECTI
Plumbing
41alkDATE
OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPE IAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
Kf r� c- p' / �
SEPA
Planning
C
PERMIT NUMBER
e.�J-N
Fire Marshall
I
Mobile Home
Co. Engineer
9
(/��,,��pp��
/ /RitJ'Gt:.�Cl
Other (Specify)
J �/i I,�
, �f�
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Building Technician
1 ' PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 4L` 0 5 2'6 0.8 z°
DATE ISSUED PERMIT NO.
* 1, 4 ALS.
2
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