1983, 11-21 Permit: 83B-1888 Plumbing FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL NO.
1. 11806 East 37th
LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER
PHONE
PHONE
Mike McGrath
928-1097
3
MAILING ADRES
ZIP
Actual Set Backs in Feet to:
Toulh 4624 Van Marter
99.206
North South East
West
CONTRACTOA1 pine Plumbing
LICENSE EXPIRES
PHOKE6-0195
Size of Parcel
Zone Classification
Residential
O
4.
ADDRESSinkle
Post Office Box 223
zIP99025
Type Const.
Occupancy
Spr❑Nofed
❑Yes ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
per Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE EX NEW El ALT. ❑ AD'N. El RPL. El MVE.
7. O❑OTHER
WORK ❑ BLD. UPLMB. ❑ MECH. ❑ M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes ❑ No ❑
DESCRIBE WORK
Shorelines/Flood Hazard
Plans Required ❑
8• 11 Fixtures
Yes Not Applic. ❑
Received ❑
VALUATION
I SOURCE
OF
OF
GAS
ELECTRIC
WATER
PUBLIC ❑
SEWAGE
SEPTIC El
Ownership
FEES COLLECTED
9
PRIVATE ElSEWER
El
Public ❑ Private ❑
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 to give au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
49
of construction. SEE REVE SIDE FOR REQUIRED INSPECTIONS
Plumbing .00
SIGNATURE OF APPLICATION �
OWNER OR AGENT /P..irY _ i�-- DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health 3 water closets
Planning 3 lav
1 tub
Fire 1 shower
Prevent. 1 kitchen sink
Engineer 1 washer
Utilities 1 HWT
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Tec
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
PERMIT NUMBER
rj
TOTAL $ 49.00 I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS
]j BECOMES pA PERMIT. q
DATEJIS�UE� 1 — U PERMITIN8.8, 8 z
* 4 9.0 0 QOTAL