HomeMy WebLinkAbout1983, 07-19 Permit: 83A-6686 MHMAN NUM6CH I i►rrL-mom 1 1VIr/ vc rl(VII 1
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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 ObE FOR QUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE !
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE _
Env. Health k'�X4At�iSv to 4_6
Planning +`e-, 1 .tc
6_� t:cta_
Fire
Prevent. U � e roe ti T i U Y�Vt � C\�� �Q�&
""'' b
tngineer
Utilities '
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEYSSUED` 9— PERMIT'NO. "' 6 z * 5 O' 0 0 i'O'rAL
rMHMII Nr t3tH
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APPLICANT: COMPLETE NUMBERED SPACES
— PRESS HARD TO MAKE 3 COPIES
L. E]MVE.
1 .
STRE -f,3 ss i
✓ 1
AV�
PARCEL NO. 1 7 r2 �� O
_
,'7.
%
LOT
BLOCKsUB
(VISION
LEGAL DESCRIPTION:
2.
�j
H. ❑ POOL
L<'0s7"
�ifi.of Exempt.
Required
Yes❑ No❑
Number
NER
����
P ON
Received
PHONE
�8•
3.
I
— �7
Plans Required ❑
MAI ING ADDRESSr
o
N
r
Actual Set Backs in Feet to:
9•
VALUATION
1-J OU
(J t]
GAS
North South'' East West
WATER 'I PUB IC�1
PRIVATEEE ❑
SEPTA
SEWERRR ❑
CONTR/Affq
COLLECTED
LICENSE EXPIRES
PHbNE
Si4e
qf Parcel���
Zo CI f tion
� �aI ial ❑
4.
ADDRESS
ZIP
Typ@gq .
upancy
Sprinklered
�N
*2
Dyes ❑No
❑Req'd.
DESIGNER
PHONE
New Const. Valuation/Remodeled
Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
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 ObE FOR QUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE !
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE _
Env. Health k'�X4At�iSv to 4_6
Planning +`e-, 1 .tc
6_� t:cta_
Fire
Prevent. U � e roe ti T i U Y�Vt � C\�� �Q�&
""'' b
tngineer
Utilities '
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEYSSUED` 9— PERMIT'NO. "' 6 z * 5 O' 0 0 i'O'rAL
rMHMII Nr t3tH
83A - cccbffi
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TYPE ,.KNEW ❑ ALT.
❑ AD'N.7M.
L. E]MVE.
_
,'7.
%
El OTHER
WORK El BLD. ElPLMB. ElMECH.
H. ❑ POOL
�ifi.of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
�8•
DESCRIBEWORK�
I
Shorelines/Flood Hazard
Plans Required ❑
�/�
Yes❑ Not Applic. ❑
Received ❑
9•
VALUATION
1-J OU
SOOUFCE
UTILITIES
GAS
ELECTRIC
WATER 'I PUB IC�1
PRIVATEEE ❑
SEPTA
SEWERRR ❑
Ownership
icFEES
Public ❑ Privat
COLLECTED
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 ObE FOR QUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE !
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE _
Env. Health k'�X4At�iSv to 4_6
Planning +`e-, 1 .tc
6_� t:cta_
Fire
Prevent. U � e roe ti T i U Y�Vt � C\�� �Q�&
""'' b
tngineer
Utilities '
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEYSSUED` 9— PERMIT'NO. "' 6 z * 5 O' 0 0 i'O'rAL
rMHMII Nr t3tH
83A - cccbffi
a
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U
W
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LL
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