Loading...
1983, 04-18 Permit: 83A-2982 MHPLAN 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 STREET ADDRESS 1. 1J�1 LOT BLOCK 2. ; OWNER 3. v16RAJ° J "PA SUBDIVISION 1 ' ` A 1 't010 Yo � : 'r.-bP PHONE PHONE MAILING ADDRESS ZIP E:1 EScr) f/et CONTRACTOR 4. ADDRESS LICENSE EXPIRES DESIGNER 5. ADDRESS CHANGE OF USE FROM PHONE ZIP PHONE ZIP TO TYPE E1 NEW ❑ ALT. ❑ AD' N. E RPL. ❑ MVE. 7. OFWORK ❑ BLD. ❑ PLMB. ❑ MECH. E{M.H. ❑ POOL El OTHER PARCEL NO. -3S3i - it 0 LEGAL DESCRIPTION: Actual Set Backs in Feet to: EYm"T s eac4 North 'South (East Size of Parcel Type Const. Occupancy DESCRIBE WORK 8. -7 VALUATION 9. tg;cr r. SOURCE UTILITIES GAS ELECTRIC WATER PUBLIC 0 PRIVATE SEWAGE , SEPTIC Er SEWER ❑ Main Floor Cover Deck No. Baths West Zone Classification Residential Commercial ❑ Spr'nklered ❑Yes ❑No ❑ Req 'd. Remodeled Valuation Uncv. Deck No. Floors Certifi. of Exempt. or Variance Total Bldg. Floor Area Greenhouse Fin. Basement No. Fin. Rooms Required Yes No 71 Received Yes ❑ No El Shorelines/Flood Hazard Yes El Not Applic. ❑ Ownership Public ❑ Private Ni.'" I hereby certify that I have read and examined this appl'cation 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 REVERSE SIDE FOR REOUIREDJNSPECTIONS SIGNATURE OF OWNER UR AGENT APPLICATION. j DATE g Unfin. Basement No. Dwellings Number Plans Required ❑ Received ❑ ' SPECIAL APPROVALS oRELIM. FINAL DATE Env. Health Planning Wry SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ PERMIT NUMBER 97M- )7* 7 'A ,7* ri *50,00 *50006 *000 E 298.1 0.4-18-83 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSU E1 8 8 3' PERM IeN91.8 2 z *50,0o TOAL