HomeMy WebLinkAbout1983, 07-05 Permit: 83A-6168 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON /.SPOKANE, WASHINGTON 99260 / (509) 456-3675
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IRM'I FtA®��I
DESIGNER
_
APPLICANT: COMPLETE NUMBERED SPACES -
PRESS HARD TO MAKE 3 COPIES
Total Bldg. Floor area
STR TADDRESS
PARCEL NO.
ADDRESS
ZIP
Main Floor
per Floors
Garage/Storage
Greenhouse
LOT
BLOCK
SUBDIVISION
CHANGE OF USE FROM
LEGAL DESCRIPTION:
2.
Uncv. Deck
I
Unfin. Basemt
6.
OWNEFI,
PH
4
E
f�,l/7
PHONE
3
No. Fin. Rooms
No. Dwellings
TYPE NEW ❑ ALT. ❑ ?yD'N. ❑ RPL. ❑ MVE.
7
% ❑OTHER
MAI�INGGT Dc D
ESS
r'V
-
ZIP
% r2 G
ActualSet Backs eet n Fto:
Required
Yes[]No❑
Number
or Variance
Received
Yes ❑ No ❑
North South East West
DESCRI WO
CO A T
LICENSE EXPIRES
H E
Size of Parcel
Zone Classification
Residential ❑
❑
4.
Yas❑Nol❑
Received ❑
VALUATION
SO
OF
_-;0 t
ELECTRIC
PUBLIC WATER
Commercial
ADr!S 1,0405
a�
9•
UTILITIES
IP
Type Const.
Occupancy
❑Yes Spr❑Norte ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor area
�J.
ADDRESS
ZIP
Main Floor
per Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basemt
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW ❑ ALT. ❑ ?yD'N. ❑ RPL. ❑ MVE.
7
% ❑OTHER
-
WORK El BLD. ❑ PLMB. MECH. ❑ M.H. El POOL
Certifi. of Exempt.
Required
Yes[]No❑
Number
or Variance
Received
Yes ❑ No ❑
DESCRI WO
J8.
Shorelines/
PlansRequired 0
0
ri N
I
Yas❑Nol❑
Received ❑
VALUATION
SO
OF
GAS
ELECTRIC
PUBLIC WATER
SEWAGE
SEPTIO
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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
Building
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 REQ IRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION '% ^^
IQj
OWNER OR AGENT DATE /
Mach.
_
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Planning
Modular/
MFG.Home
Fire
Prevent.
Fnaineer
I
Other (Specify)
Utilities
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDAT
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED j; ., 1
BuildIN 180 DAYS 0 % -! 5:-; K,; 8' 3'
/p DATE ISSUED
PERMIT NUMBER
04* *1 8.00
* 1 8,0061
A *000 00
61 6,72
07-05-83
z 6,479.
/� 1 1
PERMIT NO' y 6 u z, * 1& 0 l7QQfAL