HomeMy WebLinkAbout1983, 07-27 Permit: 83A-7005 ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
�.9 T BB
903
1.
LOT ( BLOCK
2.2I i
110M R�
SUBDI ISION
SoyNSla n/G AOD.
PARCEL NO.
SO 2_
DWALER
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MAILING ADDRESS
PHONE
PHONE
LEGAL DESCRIPTION:
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•
ZIP
4.
5.
6.
CONTRACTOR
cCi0fe0&N t'I l ic i4-
LICENSE EXPIRES
o -31- 8.1
PHONE
7e6e-V/7 2
ADDRESS
0 • 5c-3 2,3 Eberyree!�/
DESIGNER
b afo,.Pi-err
ZIP
PHONE
Actual Set Backs In Feet to:
North 1_ !South /70 (East 20
Size of 1 Parcel
q /H�/ /. Pe R�I
T t R1 Occupancy
eyrn /
Remodeled Valuation
ADDRESS
CHANGE OF USE FROM
TO
ZIP
New Const. Value on
Main I rV ��--��77
Cover Deck
/20
West 100
00
Zone Classificati n
4.
Spr nklered
❑Vas ❑No ❑Req'd.
Residentla
Commercial
T2 dg oor Area
Z UCi Q
U400
Deck
Garage/Aorage
74. e}aent
Greenhouse
Unfin. Basement
9s6
TYPEtEW ❑ ALT. ❑ AD' N.
7. OF BLD. 0 PLMB. 0 MECH
WORK
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL El OTHER
Na Baths
3
No. Floors
2 -
Certif1. of Exempt.
or Variance
Required
Remived
8. 57.19 /e AAAA
VVALUATI6N SOURCE
9•j3gcoo UTILLIITIES
DESCRIBE WORK
Res-.
Shorelines/Flood Hazard
Yes El Not Apollo. 0
No. Fin. Rooms
Yes❑ No❑ Number
Plans Required
Received
Yes❑ No❑
No. Dwellings
GAS
ELECTRIC
Rsruc
WATEEWc
PUBLIC
PRIVAT
SEWAGE
SEPTI
SEWE ❑
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 gr- ting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other tate or local`aw regulating construction or the performance
of construction. SEE REVE TIDE FOR REO. IRE NSP CTIO S
SIGNATURE OF
OWNER OR AG"E1
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech
wag
7 -do
7J
//03
Ntt
APPLICATION -7/5
C _ 63
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
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)
441*
TOTAL $ +44.
PERMIT
83A 7005,
02* *48400
*484.006
A *0.00
70Q4g
07-27-83
g 6479.
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WHEN
t
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
UEDL 7--8j,
PERMIT?! *48400.&AL
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