1983, 03-28 Permit 83A-2285 Wtr HtrAPPLICAT!ON/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRE_aS LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWN R PHONE
3.
ADDRESS P
Actual Set Backs in Feet
1EJ f
.�
CO TRA- P O E
North South EastWest
Size of Parcel
Zone Classification
,+
V )
4'
A RESS + p
Type Const.
Occupancy
Sprinklered
`❑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
IJ.
TYPE
❑ NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Stories
No. Rooms
No. of Dwellings
%, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. �MECH. ❑ M. H. ❑ POOL
ICATE
Req'd.
Recd.
Not Req'd.
PTION
DE CRI E RK- r,� !;
`��
Location (Area)
LPublicEl
$./
FEES COLLECTED
VALUfIONJ
SOURCE
GAS ECTRIC
WATER
SEWER
USE CODE
9.
OF
UTILITIES
e ❑
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 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATIONC-3 _5�� SIGNATURE OF APPLICANT �La�'
Mech.
SPECIAL APPROVALSI SPECIAL CONDITInnlc-
NAME DATE A J
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
0-2�1 J�,A-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
I
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
7
1 `
U4* *16.00
*160061
A *000
228.4.E
03-28-83
z 6.479. -
s-•
Other (Specify)__
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 3; 2 8 ,- 8';3`
DATE ISSUED PERMIT NO. z 1OgW� H
r