Loading...
1980, 07-18 Permit: 80-7304 Special InspectPLAN NUMBER _ APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES JOB ADDRESS 1. 3 v' 9• LOT OWN LR ADDREtc 2. 3 BLOCK SUBDIVISION 2 - 4. 5. CONTRACTOR ADDRESS DESIGNER P /— P ONE LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Z2- 5 Actual Set Backs in Feet North (South East 'West SIZe of Parcel Zone Classification ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unf in. Basement TYPE OF WORK O NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. 8. 9. DESCRIBE WORK VAL� 4' GAS S URGE OF UTILITIES CcK EL TRIC Enum. Dist. I Location (Area) WATER 5 WEB Ownership Public 0 Private 0 USE CODE 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 authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT DATE OF APPLICATION 2— J —I " SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Eng l neer Utilities Plans Examiner SEPA Checkli SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building • Plumbing Mech. , Plan Check SEPA Mobile Home Other (Specify) TOTAL $ e-a° - PEFiMIT NUMBER vo-730¢ 02* *800 *800 N *a00m E *000 70228 07-14-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. '0171:-7;n8&81'0' DATE ISSUED 7 3' Q'4'5 PERMIT NO. *8,.00ar2 TOTAL PLAN NUMBER APPLICATIVIM/ PEPINNIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 ` APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. LEGAL DESCRIPTION - SEE ATTACHED LOT 2. BLOCK SUBDIVISION OWN R 3. Ke l AtR ADDRESS 1) I 1 r�jJ�.y J CONTRACTOR `I 4. 2 - PARCEL NUMBER/S P /_ P ONNE 69 Actual Set Backs In Feet North (South East West Size of Parcel Zone Classification ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. 5. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD N. O MECH. ❑ RPL. ❑ M.H. DESCRIBE WORK 8. VALUATION d V 1+�* S URGE AS OF UTILITIES ❑ MVE. ❑ POOL 0 OTHER N ('V � � °k WATER S WER ELECTRIC No. Baths No. Stories NO. Rooms No. of Dwellings CERTIFICATE 'of EXEMPTION ' Req'd. Rec'd. Not Req'd. Enum. Dist. Location (Area) Ownership Public 0 Private 0 USE CODE I hereby -certify that I have read and examined this application and have read I on reverse side, and know the same to be true and correct All provisions of I type of work will be complied with whether specified herein or not. The gian to give authority to violate or cancel :he provisions of any other state of local performance of construction. SEE RF`:ERSE SIDE FOR REQUIRED INSPECT DATE OFAPPL! =ATI C!f: "/ ^ SPECIAL APPROVALS NAME DATE SEPA Chei6: y aI . SPECIAL CONDITIONS: he "NOTICE" provisions included .i -us and ordinances governing this Him of a permit does not presume bin regulating constiuction or the 0 -rt -eltelerren,Ottaaaes° PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FHUfa NA FE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech- Plan Check SEPA Mobile Home Other (Specify) ✓ TOTAL $ r1 02* *800 * 800 * 8008 E *000 70228 07-14-80 g 6479. IYrEN P.i4Cri,4% ''AI ;L'ATCC IN iH,6 `:PAC t, C- IS RE CC"•.i ES A PERMIT. DATE ISSUED PER VI NO. --.DTAL >- 0_ d