HomeMy WebLinkAbout1982, 10-04 Permit: 82B-629 Special InspectionPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 A DRESS
[,ILEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK VSUBDIVI510N I PARCEL NUMBER/S
3. I -,0'--
ADDRESS i ZIP r Actual Set Backs in Feet
N . 3�% ) 1 Ll" f� North South East West
CONTRACTOR HONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes []No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.N/p
7 WORK 1:1 BLD. 1:1 PLMB. ❑ MECH. ❑ M.H. ❑ POOL — THER CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK nhjEnum. Dist. Location (Area)
8 I o FEES COLLECTED
VALUA ION SOURCE 6 GA ELECTRIC I WATER I SEWER Ownership USE CODE
OF
9. UTILITIES Public El Private E3
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included _tom
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
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 INSPECTIONS
/���jJ�i � /L] �y� /� Plumbing
MATE CIF APPI ICATinKi � / Ac)� CIC:NaTIIRF CIF APpi IC:ANT /\5...+�.�5._A/'L \\ �!/�/!/r1 J Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ldin h n
SPECIAL CONDITIONS: yy
NOM
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
1J �
TOTAL $ 0
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
04=82
SPACE,
6292 *8.00°PJ