Loading...
1983, 12-27 Permit: 83B-2788 StovePLAN 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" ..fir.K/1/ 7-0A/ ie -D. LOT BLOCK SUBDIVISION 2. PARCEL NO. LEGAL DESCRIPTION: �O y/NER , / 3t"/,,10,L Z W/ /T— MAILING ADDRESS NGc PHONE f.? -/707 PHONE ZIP Actual Set Backs in Feet to: North j South East I West 4. 5. 6. OliTRACTOR ADDRESS—U/61/4? 6/P .. j,4'eMPA/ fj;P� A/ >3.1 ]i/_Si O A/ LICENSE EXPIRES PHONE 7TSf49W/P-. i ZIP ;9,-A7 Size of Parcel 1 Zone Classification Residential ❑ Commercial ❑ Type Const. Occupancy Sprinklered ❑Yes 0 N ❑Req'd. DESIGNER /VA • ADDRESS PHONE New Const. Valuation Remode ed Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE 0 NEW 0 ALT. ❑ AD' N. 0 RPL. ❑ MVE. 7. OF WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required Yes❑ No❑ Received Yes No❑ Number DESCRIBE WORK 8. T7/(457 -A7/1/4 in t/ - z, -,)e)/1,5 -TD vi,_ . 6/i �, 477-- VALUATION SOURCE 9 UTILITIES GAS ELECTRIC Shorelines/Flood Hazard Yes❑ Not Applic. ❑ Plans Required ❑ Received ❑ ATER SEWAGE PUBLIC ❑ SEPTIC ❑ PRIVATE ❑ SEWER ❑ Ownership Public ❑ Private ❑ 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 REG) IRED INSPECTIONS SIGNATURE OF OWNER ORACliPP APPLICATION DATE 4�. SPECIAL APPROVAL D SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. /07 PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing VO Mech. � Plan Check SEPA Modular/ MFG. Home Other (Specify) ev TOTAL $ PERMIT NUMBER g 5 — 2780 04* *20.00 *20,006 A *0.00 278.72 ,12-27-83 z 6,479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. jj .44. �qod„z DATE1IS�UE0- 7' - 8' 3 PERMIT2N .8. 8 2 * 2 0.0 0IAL