HomeMy WebLinkAbout1984, 02-29 Permit: 84A-1714 Pole Bldg PLAN NUMBERAPPLICATION /PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 04A- - 1711-
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. I,) r I
1. - i2 Z
04- 6.. �� y'-'�� -- 9° _
LOT BLOCK SUBOIVISIO LEGAL DESCRIPTION:
2. I Y , Iy 1.3-i _ I2''coo,
OWNER
labIONE PHONE
I g`" � i3(�/ N F' - 65�
3.
MAILING AIM,IRES Actual Set Backs in Feet to:
A
1`� -iv • '724North 'South East 5 I West
CONTR4,CTQR LICENSE EXPIRES PHONE Sizegfcel 90 Z eClassification Residential
4. "�/ASM j 44 tt , S - Commercial❑
ADDRESS ZIP TypQCggstI� Ocqupar�cy Sprinklered
V N M ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Value'on Remodeled Valuation Total Bldg.Floor Area
5. *Coq/ -9=-1r -
ADDRESS ZIP Main Floor Upper Floors Garag /Stq oLag@_ r Greenhouse
Ezott
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement UnfIn.Basement
6. .�
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE .../NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF0 OTHER
WORK E�BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ Non
DESC E WORK i24 rr, f l Shorelines/Flood Hazard Plans Required/
8• � ty(��[, .ss/�G co.
/ Yes❑ Not Applic.❑ Received ID
VALUATION SOURCE \ GAS ELECTRI WATER/1/SEWAGA/ Ownership FEES COLLECTED
9. LI PUBLIC SEPTIC public❑Private j o
UTILITIES PRIVATE❑ SEWER❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on I '. �.�
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
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 -- 7 DATECATION.0,,e--4 „— ,f 7 , Cy
OWNER OR AGENT 14,. C7#/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICEf, 7
PRELIM. FINAL DATE 4\111N1,
Plan Check
Env.Health r` I '✓ 1 t IN1, [6 1T
1, IL), tit
SEPA
Planning
Modular/
Fire MFG.Home d
Prevent. p
Engineer Other(Specify) W
J
Utilities I ii:1s` Q a
_ TOTAL $ I
SEPA
Plans 8� �/ PERMIT IS NONTRANSFERABLE HEEN MACHINE IS BECOMES A PERMIT.TED IN THIS SPACE,
Exam. 1� z9 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED /t i
BuildingcW V� IN 180 DAYS DATEQS UEc 9 -8 4 PERMITIa.1 4 z * 7 5, 0 0 GOAL
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