1983, 12-13 Permit 83B-2469 Plumbing FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
53(0- 246,
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456.3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
N. 3700 Flora Spokane, Wash.
LOT BLOCK SUBDIVISION
3.
3en.
Sub-
4.
OWNER
Ed Schimmel
ADDRESS
Cont. Divcon, Inc. (509)466-8900
CONTRACTOR
C & R Plumbing and Renting Tor
ADDRESS
6424 N Govt. Way
DESIGNER
5' ADDRESS
(
7
PHONE
ZIP
PHONE
18) 772 —3263
ZIP
Coeur d' Alene,Idf33814
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs In Feet
North (South East 'West
Size of Parcel Zone Classification
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
IJ NEW
❑ BLD.
❑ ALT.
O PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8 Installation
VALUATION SOURCE
OF
9. UTILITIES
of 9 P1ltmhiq�]J fiXtlirPfi
GAS ELECTRIC WATER
SEWER
Enum. Dist.
Ownership
Public ❑ Private 0
Location (Area)
USE CODE
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 authority to violate or cancel the provisions of any other state or local law regulating .nstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTJJS
DATE OF APPLICATION D e c. 12 , 19 83 SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Techn;ia
12113
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 36 . 0 (�
Mech.
Plan Check
SEPA
Mobile Home
5.00
Other (Specify)
TOTAL
$ 41.00
03* *41,00
*41,006
A *0.00
24682
12-13-83
6479.
3-toilets
3 -Lays
1-bar sink
1-hot water tank
1-laundry tray
9
:Permit
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED''
2" .4 6,9 z
PERMIT NO.
*4`1,0Od12
TOTAL