HomeMy WebLinkAbout1983, 04-21 Permit: 83A-3134 GaragePLAN NUMBER APPLICATION/PERMIT P MITNUMBER
SPOKANE COUNTY — DEPARTMENTOF BUILDING & SAFETY " 3�
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
LOT BLOCKSUBDIVISION LEGAL DESCRIPTION:
2. ry 1�3-rr i-� I Ag!i , ,!*<
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Engineer
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home 1 :0
C
C
Other (Specify) C
LI
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Q 1��-83 T3�3.4z
DATE SSUE PERMI N .
* 8 2, 0 0 >�QTAL
Ili
OW0
ER
P�
PHONE
3.
MAILING AD �� Mr�
Actual Set Backs in Feet to:
I o 1
North South V East West
GONTRAQT
LICENSE EXPIRES
Size of Parcel
neClassifi ioR r
I�
CRes ll11
ommercial
Commercial ❑
4.
s
�{ ,{
,SS 1rox `t ���
ZI
�% �' ��
Type ens
"�
n y
Sprinklered
❑Yes ❑No ❑Req'd.
DESIG ER
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
111n. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE EW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7.
OF ❑OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 13POOL
Certifi.ofExempt.
Required Yes❑ No❑
Number
or Variance
Received Yes ❑ No ❑
8•
S RI WO ( , ,yT�
Shorelines/ Flood Hazard
Plans Required ❑
i^i (7 'u�--
Yes Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELE RIC
WATER /
PUBLIC PI
SEWAGE /
SEPTIC--'
Ownership
FEES COLLECTED
9
UTILITIES
LI
PRIVATE I --]SEWER
F-1
Public ❑ 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
Q,
07.2— "
work will be compiled with whether specified herein or not. The granting of a permit
does not presume to give au-
Building
thority 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
Plumbing
SIGNATURE OF ®�� ' APPLICATIO��,,�
OWNER OR AGENT C'��� DATE
T
`/ '�G
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Engineer
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home 1 :0
C
C
Other (Specify) C
LI
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Q 1��-83 T3�3.4z
DATE SSUE PERMI N .
* 8 2, 0 0 >�QTAL
Ili
T
L
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