1983, 09-01 Permit 83A-8483 Kitchen SinkrLrri'l wL,rvlDcr1
STREET ADDRESS
LOT
3.
MAI
4.
ADDRESS
AI'lLIGATION / PERM IT
-411
SPOKANE COUNTY - DEPARTME.NT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
BLOCK SUBDIVISION
IN ADDRESS✓
S
CONTRACTOR
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
PHONE
LICENSE EXPIRES
PHONE C�1>
Ctt1' 11c—e
PHONE
PHONE
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WOR
VALUATION
9.
SOURCE
UTILLIITI ES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
❑ OTHER
SEWAGE
SEPTIC ❑
SEWER ❑
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North
Size of Parcel
Type Const.
South
Occupancy
New Const. Valuation
Main Floor
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Zone Classification
Residential ❑
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Upper Floors
Uncv. Deck
Garage/Storage
No. Floors
Shorelines/Flood Hazard
Yes ❑ NotApplic. ❑
Ownership
Public ❑ Private 0
Fin. Basement
Total Bldg. Floor Area
Greenhouse
No. Fin. Rooms
Required Yes❑ No❑
Received Yes Non
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 granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE RE 1I RSE SIDE FOR 9EQUIRED INSPIzCTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
DPLICATION
DATE
SPECIAL CONDITIONS: ($EE REVERSE SIDE FOR NOTICE)
vtl
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT �NUMBER
6481..
*9,00
F w0,00
848.22
09-01-83
2 6479,
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V
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LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISS O iD (3 1 - 8 3 PERMIT 4.4 g, 3 6
*9, 0 Ovii