HomeMy WebLinkAbout1983, 10-20 Permit: 83B-643 ResidencePLAN NUMBER
APPLICATION,:?PERMIT
SPOKANE COUNTY — DEPARTMElvi 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. x3313
A\IG
PARCEL NO.
'23541-4592-
2.
§LOCK
SUBDIVISION 1 ✓ I—r:
3.
4.
5.
'k.
O ^€RGrtkvii3
MAQ�IL}NG ADORES
CONTRI)4C
ADDRESS
DESIGNER
ADDRESS
PHONE
LICENSE EXPIRES
PHONE
PHONE
ZIP
LEGAL DESCRIPTION:
Actual Set Backs In Feet to -
North (South 7,Cfr [East
Size of Parcel
x (Lo
Type\Cof9,
PHONE
14-- ' West 24-
lass[ tion Residential PI/Commercial D
paupanIvcy�
n��/ReYmodeled Valuation
New Conat Valuation,
Spr nklered
0Yes DNo DReq'd.
Tota Bldg Floor Area
ZIP
6.
CHANGE OF USE FROM
TO
Maio; Floor
Cover `Deck
Upper Floors
TYPE` PINEW 0 ALT. 0 AD' N. 0 RPL. ❑ MVE.
7. BLD. 0 PLMB. 0 MECH. 0 M.H.
0 POOL
WORK
0 OTHER
No. Baths
3
Uncrlict
No. Floors
Garage/a0
G eepha
il� rodent Drillings
Unt
Fin. Basement
No Fin. Rooms
Certifi. of Exempt.
or Variance
Required YesO NoD
Received Yes Non
Number
8. DESCRIBE ORK
Shorelines/Flood Haze d
VesO Not Apollo. 0
Plans Required ❑
Received
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEWAGE
SEPTIC
SEWER 0
Ownership
Public 0 Privet
eTl
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 truand correct. All provisions of laws and ordinances governing this type of
work will be compiled with whether sp'- fled herein . - ot. The granting of a permit does not presume to give au-
thority to violate or cancel the . +v - :ns of an . -r :tate or local law regulating construction or the performance
of construction. SEE REVERS i E FOR ' j - ' INS : E , IONS
' —
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPKOVALS
PRELIM. FINAL DATE
Env. Health
fiWLC l�lq
Planning
Flre
Prevent.
Engineer
Utilities
SEPA
Play
Exam.
Building
Tech.
APPLICATION
DATE
SkECIAL CONDITI NS: (SEE REVERSE SIDE FOR OTICE)
lvr i -f. Idic - GikAw1 '* 210 E51-4
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
330
Other (Specify)
TOTAL $ 334.
PERMIT NUMBER
?R -G4?
02* *330.00
*330.006
A *0.00 8
64.22
1 C-20-83
2 64?9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1x0,2.0'''8,°3
DATE ISSUED
PERMIT 44.3 lg. *,3.3.Q 0 0 9 AL
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fro. no
60
54
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