HomeMy WebLinkAbout1980, 05-10 Permit: 80-4605 FurancePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
G"
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
ti
� 4 * * 4,00
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1 0 0
LOT
BI-577-71VISION
PARCEL NUMBER/S
*14.00
cD
L
OWNE
P O/NEG
��CQ
3.
ADORES
ZIP�^^
' 9C3"C�
Actual Set Backs in Feet
North South East West
C _ 1 0-80 _ 8 C
CONTR TOR
PHONE
Size of Parcel
Zone Classification
4.D
1_1%77
c 4 7 9.
$�
Z
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
-
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE❑ NEW ❑ ALT. C3'N. 11 RPL. 1:1 MVE.
Aj�
No. Baths
No. Stories
No. Rooms
No. of Dwellings
%, OF ❑OTHER
`/
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK ❑BLD. ❑ PLMB. MECH. ❑ M.H. ❑POOL
of EXEMPTION
8. DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOURCE AS LECTRI WATER SEWER Ownership USE CODE
OF
I
9. UTILITIES Public ❑ Private ❑ Single $
I
1 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 Building
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 Plumbing
/6�1
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIALONDITIONS:
NAME DATE /O Plan Check
rn ^ 8 �� � ��
Env. Health - >
m e-
// SEPA
Planning
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a6 oil
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Fire Marshall �/ Mobile Home
1}n� /y ✓
Co. Engineer t ��- / ` ,
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� Other (Specify)
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e ,,
Utilities •! f' Le �,
/J TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
n T c nician PERMIT IS NONTRANSFERABLE 0 5 =;i1 0' 0 0
4 6 0. 5 * 14 0 0°�--'-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATF ISSIIF=n
PERMIT Nin TnTAI