1983, 01-17 Permit: 83A-379 DamperPLAN NUMBER
cl
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.'1705 E. NORA
LOT
2.
3.
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
OWNER
MRS R. HUBBARD
ADDRESS
7705 E. NORA, SPOKANE
PHONE
9228 3868
99206
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East (West
4.
5.
CONTRACTOR
DAVID VAN DORT
ORS1 E9514 MONTGOMERY #23 SPOKANE
DESIGNER
PHONE
924-3986
ZIP
99206,
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Sprinklered
❑Yes 0No 0 Req'd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin, Basement
O NEW
❑ BLD.
O ALT.
O PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Rec'd.
8.
DESCRIBE WORK
INSTALL SAVE FUEI, DAMPER
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
X
ELECTRIC
WATER
SEWER
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 INSPECTIONS
`�L
DATE OF APPLICATION L/ 3 SIGNATURE OF APPLICANT ///A� /,")
SPECIAL APPROVALS / 'SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
FEES COLLECTED
Single $ l 4 00
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
'TOTAL $14'00
PERMIT NUMBER
83A-3-jq
.04* *14.00
*14.006
A *0.00 ES
37.82
0'1-17-83
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
CI;•
1
PERMIT •IS NONTRANSFERABLE1�l� 3:779 z *14 0,0,a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
•
0
0
0
— J
LL
II