Loading...
1983, 05-31 Permit: 83A-4619 Enclose PatioPLAN NUMBER APPLICATIO.N/PERMIT SPOKANE COUNTY — DEPATTENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 458-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1. E. LSiC2_C eAtr LOT .1 OWNER 3 'R c: a a a -La MAILING ADDRESS Es • 11514 eiZAC-E CONTRACTOR 2. BLOCK IZ PARCEL NO. ©aSect- I in -(2) PERMIT NUMBER est.. - SUBDIVISION - SUBDIVISION 01 1 R# she A- IA. RAN, ciketw, 4. 5. PHONE uuFw PHONE 43 -22 6 LEGAL DESCRIPTION: °vs, rr.c. ADDRESS sxtWIG- DESIGNER ZIP Actual Set Backs In Feet to: EKtST Rio( North ISouth IEast IWest LICENSE EXPIRES PHONE Size of Parcel 40K t -2-o Zone Classification Residential M." Commercial 0 ZIP Type Const. Occupancy 12. 3 Spr nklered Oyes END OReg'd. PHONE New Corot Valuation I &modeled Valuation Tota Bldg. Floor Area 11"2 ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fln. Basement Unlin. Basement TYPE 0 NEW 0 ALT. Q"AD'N. 0 RPL. 7. OF WORK DruLD. 0 PLMB. 0 MECH. 0 M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No Floors Certifl of Exempt. cr Variance No. Fln. Rooms Required YesO No fir Received YesD NoO No. Dwellings Number DESCRIBE WORK 8. P.1/4—Ct o Shorelines/Flood Hazard Ves0 Not Apollo. 0 Ram Required efj Received 2f VALUATION scC:Ia SOURCE OF UTILITIES GAS ELECTRIC WATER PUBLIC 0 PRIVATE 0 SEWAGE/ SEPTIC SEWER 0 Ownership Public 0 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 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 OWNER OR AGENTX' SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech.. NJk APPLICATIONS-_ 31 d - 3 DATE aS SPECIAL CONDITIONS: (SEE R E SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building 4 i W Plumbing Mach Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 02* *68.00 *68006 A *000 461.82 05-31-83 2 6479. d O 0 W J LI - WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE b3t1.-85 PERMITM. 19 z *68.00mTAL