Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1983, 03-07 Permit: 83A-1581 MH
PLAN NUMBER (17-- 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 1. 2. STREET SAD DRESS P pf.v9 LOT BLOCK I SUED ISIONN 0.91 Ct-�v i OWNEfj 0 . ✓�'1 c i IV'V l� -Jr . 3. MAILING A D ESS N • lca � rsvPcr.a LICENSE EXPIRES CONTEt TOz 4. ADDRESS PHONE ZIP CO PHONE ZIP PARCEL NO. LEGAL DESCRIPTION: I elfW • 3 t �• �. LAI V -- or = 1~(- I-1 of e.,0• L -(i `f or Actual Setcks in Feet to: `. North South (East -z( West DESIGNER 5. ADDRESS PHONE J of Parcel Type ' V Oocu Residential Q' Commercial ❑ Spr'nklered ❑Yes ❑No ❑Req'd. New Const. Valuation Remode ed Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE ANEW ❑ ALT. ❑ AD' N. 0 RPL. 0 MVE. 7• OF 0 BLD. 0 PLMB. 0 MECH. M.H. 0 POOL WORK 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required Yes No❑ Received Yes❑ Non Number DESCRIBE WOR + cr L.45M Sin VALUA ON SOURCEDGAS EL RIC WA ER©/ 9. 6,6,000��UTIF LITIES PRIVATE ❑ Shorelines/Flood Hazzard/ Yes ❑ NotApplic.p� Plans Required ❑ Received ❑ SEWAGE SEPTIC SEWER ❑ Ownership Public ❑ Private I hereby certify that 1 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 REVERSE SIDE FOR REQUIRED INSPECTIONS SIGNATURE OF /).,_t 19•y/4 OWNER OR AGENT �/� , °' SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. C.O APPLICATION f DATE SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) 9t5r.rRc retpir". eee ` i G I ;/!��/ all 4/( et4/J LC/1 /773 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 50-00 Other (Specify) TOTAL $ - a • PEEN ITNUMBER 3 r81 07* 1588 03-8T-83 6/1_79 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE'iUiP 7Y 8 5 PERMr .N�.S. l z * 5 Q O iQiAL mrx. si 9r'( 3. - C Uut 4 73 >oiropc4A, CiAteUr loAttN,