HomeMy WebLinkAbout1983, 03-02 Permit: 83A-1455 MHPLAN NUMBER
0)
{-1 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
STREETADDRESS
1. 1532- f
LOT BLOCK U DI ISION
J J
2. ¢ S�15ci0as-r/s
OWNER PH
MAILING ADDRESS
74-07 6• ah -fin— I o
CONTRA
4.
ADDRESS
PHONE
PARCEL NO
1755a -- 'Izc, 34 -
LEGAL DESCRIPTION:
LICENSE EXPIRES
P /^
ONE V
Actual Set Backs In Feet to:
North ISouth 5 [East I West /, IBre.--
/ Residential Cf
Commercial ❑
Si ofparcev
ZIP
Type Cjt
Occupancy
ZonneeVClasslftition
1
Sp 'nklered
❑Yes ❑No ❑Reg'd.
DESIGNER
5.
ADDRESS
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin Basement
Unfin. Basement
TYPE El/NEW 0 ALT. 0 �AAD'N. ❑qpL ❑ MVE.
7.OF
0 BLD. 0 PLMB. LTMECH. Id M.H. 0 POOL
WORK
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certili. of Exempt
a Variance
Required Yes❑ No❑
Received Yes❑ No0
Number
8.
DESCRIBE ZOi Ln
VALUATION TION STIE E
9• Ivl-� WO f ILOITI ES
Ga (I4—ic 70
ELECTRIC
GAS
WATER
PUBLIC
PRIVATE ❑
SEWAGE/
SEPTIC
SEWER
Shorelines/Flood Haze d
Yes❑ Not Apollo ❑
Plans Required 0
Received 0
Ownership
Public O 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 REOUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT - .�.ilr4 *^^ DATE
SPECIAL APPROVALS S CIAL ONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
3/I
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 $
PERMIT NUMBER
07.* '*5Q00
*5Q006
A *GOO o
1 5.712
03'=02-83
'61t79.
>-
0-
0 1
0
V
W
J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a r ti 'i hot
txi
DATE ISSUED0 2 1
1'4552 *50,OOai-
PERMIT NO. TOTAL
p
1 t
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