Loading...
1984, 01-24 Permit: 84A-677 Special InspectionPLAN NUMBER 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 STREETT TRESS PARCEL NO. 2. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 01. R i r - JPHONE PHO �f 7 ` 3. MAILING ADDRESS�_ ZI$� C� 204 Actual Set Backs in Feet to: North South East West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ❑ 4. Commercial ❑ ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area J. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement s. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE ❑NEW ❑ALT. El AWN. El RPL. ❑ MVE. 7. j2�OTHER OF WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ 8. DESCRIBE WORK(•. _ �r�' i Hazard ReqReceiired 11 , Plans esalinesNotA ved ❑ VALUATION I SOOUFCE GAS ELECTRIC PUBLIC ❑ SEPT ICG Ownership FEES COLLECTED 9. UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 1 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 au- Building thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVEPAE SIDE FOR REQUIRED INSPECTICINS Plumbing SIGNATURE OF APPLICATION OWNER OR AGENTAd6::�4DATE Mach. SPECIAL APPROVALS SP IAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICI PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Utilities PlansPERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Tech. % ,� Plan Check SEPA Modular/ MFG. Home On Other (specify)59 1 Oel TOTAL $ PUMITNLIMBER W — 6111 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES RAP1ERMIT. x ..T.11. C17- — 4 DCORAIT W6 7, I a6 * V. � O L4TAI D C G U N