HomeMy WebLinkAbout1983, 06-21 Permit: 83A-5586 CarportPLAN 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
1.
2.
STREET ADDRESS
6- 1131 �MrI F� kJ
Lp�
ICK
SUBpIVISIO i/ rvAi
t`+
3.
4.
OW R
K.6
P ONE
PHONE
PARCEL NO.
��- X4-3 1017
LEGAL DESCRIPTION: -L� 6 ( .'1tx 150 It.
10'( 10
MAILING ADDRESS i 9, alw, vJ
CONTR C 0
ADDRESS
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to:
North South
ZIP
DESIGNER
5. ADDRESS
PHONE
Size o .%l7c 15,0
Type QnIv
Occupancy
East 2,0 1 West
l Zo Ctlas ifiiccation
Residential,
Commercial ❑
Spr'nklered
❑Yes ❑No Req 'd.
IINew Const. Valuation Remode ed Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
O
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
7.
TYPE ❑ NEW ❑ ALT. gAD'N. ❑ RPL.
OF ter—BID. ❑ PLMB. ❑ MECH. ❑ M.H.
WORK
❑ MVE.
❑ 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 WOR
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Plans Required 0 f
Received 0
VALUATIO
9 .
SOURCE
OF
UTILITIES
GAS
ELECTRIC
R
PUBLIC O
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership /
Public 0 Private Pf
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
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 REVER D z RE • UIRED INSPECTIONS
SIGNATURE OF �1 APPLICATION
OWNER OR AGENT DATE
SPECIAL APPROVA S SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FIN DATE
Env. Health
Planning
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 $ �� r
PERMIT NUMBER
e,51R-5SeC,
02* *2200
*22006
*0.00
A
558,52
06-21-83
.2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
DATE iSS BIT' 1f -- 8¢ 3 T5 O. 8' .z
PERMI N
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