1983, 10-19 Permit: 83B-606 HeaterPLAN NUMBER
(2i
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
STREET ADDRESS
1.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
NER
3 �/rdA- j
1164ADDRESS
UJ�
C TR CTOR
4.
5.
APO -26)c
DESIGNER
PHONE
535-(4/
LICENSE EXPIRES
9q2.0 a
PHONE
ZIP
HO /
C/ZaZ
PHONE
LEGAL DESCRIPTION:
Actual Set Backs in Feet to•
North }South
Size of Parcel
Type Const.
Occupancy
New Const. Valuation
LIZone Classification
East
West
Residential 0
Commercial 0
Spr nklered
0Yes ONo OReq'd.
Remodeled Valuation
Total Bldg. Hoor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin Basement
TYPE 0 NEW 0 ALT.
7.
WORK 0 BLD. 0 PLMB
0 AD' N. 0 RPL. 0 MVE.
L9'1G1ECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No. Floors
No. Fin Rooms
No. Dwellings
Certifl of Exempt.
or Variance
Required Yes❑ No0
Received Yes❑ No❑
Number
SCRIBE WORK
8.Ch
LoH1 } Nt,z
VALUATION GA
9.
-?IQD/n PR
ANC 40 01:1+K/21a/
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Plans Req ired 0
Received 0
SOURCE
OF
UTILITIES
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
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 FjEC1(ERSE SIDE FOR REQUIRED INSPECTIONS
+t.@t� -r/ (/12c
SIGNATURE OF `ti 1_ •Q ��, eist• •�u
,
OWNER OR AGENT 1�.%(Y•l
APPLICATI
DATE GON/0r/G_ p3
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning '
Fire
Prevent.
Engineer
Utilities
SEPA
Mans
Exam.
Building
Tech.
9
17/
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)
18.00
TOTAL $ `8' Dom}
PERMIT NUMBER
CooGa
04* *1800
*1800
A *0.00
60.52
10-19-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ED PERMIT NO O 6z
*18.00°F
TOTAL