HomeMy WebLinkAbout1983, 03-02 Permit: 83A-1466 Additionrt_ruv ivunnocn
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SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
Plans PERMIT IS NONTRANSFERABLE
Exam. W4 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building , „ _ I IN 180 DAYS
TOTAL $ 126 `�
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
,NMI I NUMbhH
34\ –1
N
DATE 0 2— 8 5 PERMIT IC4 t1, 6 z * 2 b. 0 n 1mTAl.
or Variance
APPLICANT: COMPLETE NUMBERED SPACES
—PRESS HARD TO MAKE 3 COPIES
DESCRIBE WORK�• *
8'
Shorelines/Flood Hazard
STREET ADDRESS
i'otzA4� lQI��+TCC?rJ TU Y�15S( E/UC,O_ Il C,)X;xt
Yes❑ Not Applic. ❑
PARCEL NO.
VALUATION
9
I SOURCEGAS
OF
ELECTRIC
WATER
PUBLIC 1-1
SEWAGE/
SEPTICB
OwnershipFEES
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
PRIVATE ElSEWER
2.
public ❑Private
(&i c: Fk(ZLt VIAL 11,.E
S '" lcl-:�-al
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-
OWNER
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
PHONE
of construction. SEE REVERSE,SIDE FOR REOUIR I -NS C IONS
k
PHONE
SIGNATURE OF— ' APPLICATION �+
z DATE 'f l
Mach.
3.
rAr
l -A t 2
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
a27 -£mo o
Plan Check
Env. Health
MAILING ADDRESS
iii pt
ZIP
Actual Set Backs in Feet to:
SEPA
Planning
D-01
6tJCaE S
Gok (v
North South i East .Z`�� West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of ParcelZone
Classification
Residential
4.
C YY�E
Prevent.
i22u1LtL
1�in.5�tic�
Commercial
ADDRESS
Other (Specify)
Engineer
ZIP
Type Const.
Occupancy
Sprinklered
C rnc
243
Mme`
Dyes ❑No
❑Req'd.
DESIGNER
PHONE
Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
."?, to
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
ZIrO
CHANGE OF USE FROM
TO
Cover Deck Uncv. Deck
Fin. Basement
Unfin. Basement
6.
TYPE ❑ ❑
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
7
EW
OF
V
ALT. OVAD' N. RPL.
❑ MVE.
❑OTHER
WORK LD.
1:1PLMB. ElMECH. ElM.H.
El POOL
Certifi. of Exempt.
Required Yes❑ No❑
Number
Plans PERMIT IS NONTRANSFERABLE
Exam. W4 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building , „ _ I IN 180 DAYS
TOTAL $ 126 `�
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
,NMI I NUMbhH
34\ –1
N
DATE 0 2— 8 5 PERMIT IC4 t1, 6 z * 2 b. 0 n 1mTAl.
or Variance
Received Yes❑ No❑
DESCRIBE WORK�• *
8'
Shorelines/Flood Hazard
Plans Required /
i'otzA4� lQI��+TCC?rJ TU Y�15S( E/UC,O_ Il C,)X;xt
Yes❑ Not Applic. ❑
Received O
VALUATION
9
I SOURCEGAS
OF
ELECTRIC
WATER
PUBLIC 1-1
SEWAGE/
SEPTICB
OwnershipFEES
COLLECTED
UTILITIES
PRIVATE ElSEWER
10
public ❑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-
Building
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 REOUIR I -NS C IONS
Plumbing
SIGNATURE OF— ' APPLICATION �+
z DATE 'f l
Mach.
OWNER OR AGENT`S-� \.� ,�
SPECIAL APPROV S
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
iii pt
I`X<<'TiN� S
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Other (Specify)
Engineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. W4 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building , „ _ I IN 180 DAYS
TOTAL $ 126 `�
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
,NMI I NUMbhH
34\ –1
N
DATE 0 2— 8 5 PERMIT IC4 t1, 6 z * 2 b. 0 n 1mTAl.
—ILO I