HomeMy WebLinkAbout1982, 07-30 Permit: 82A-6594 DamperPLAN NUMBER
APPLICATION/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 ADDRESS
• z80O5
LOT BLOCK SUBDIVISION
4.
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CO TRACTOR/
e4 Cl y✓
A/V '
PHONE
ZIP
c79 C 6
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
1South East
North
West
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
2— 2V
ZIP
Ug
Size of Parcel
Zone Classification
PHONE
ZIP
TO
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floor
Building Area in Sq. Ft.
Upper Floors I Garage Area
Storage
Area of Decks
Finished Basement 1 Unfin. Basement
No. Baths 1 No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK]
64
8. �Q�i.c2u.0 J -C
EVALUATION
SOURCE
OF
UTILITIES
...-ELECTRIC
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist.
Req'd. Rec'd.
Ownership
Public D Private 0
Location (Area)
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includea
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 7 30 SIGNATURE OF APPLICANT r'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ O
PERMIT NUMBER
5 c /+, -69594-
04*
4-
04* *14,00
*14,006
A *0,00 L9 -
659.3g
07-30-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07i43.(1-82 659,42 *14000_i
DATE ISSUED PERMIT NO. TOTAL