Loading...
1984, 02-14 Permit: 84A-1220 ResidencePLAN NUMBER APPLICATION /PERMIT PERMjT14UMBE - �� J SPOKANE COUNTY - DEPARVIENT OF BUILDING & SAFETYb+t NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. 1. �- 5 � � X4-1- _001 2 L7T I By CK A— SUBDIV�i N 2 � O k Io� T`� LEGAL DESCRIPTION: OW.NE j„ PHONE PHONE � 3. MAILING ADDRESS ZIP Actual Sqt/Pecks in Feet to',,, 30 North It(✓ South d East West CONTRACTOR LICENSE EXPIRES P O E SI Ael Zol ngCassi i tin Residential 4. _ 4> Commercial ❑ A�RESS, , ^ Ks / Type st. ' Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Wt Valuation Remodeled Valuation Total Bldg. Floor Area S. 7L) !r ADDRESS ZIP Mai Floor Floors Garage/S)or� Greenhouse CHANGE OF USE FROM TUpperr Cover Deck n�.}�eccic Fin. Basement Unfin Basement 7�0__ 6 r / W ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE. J2BLD. No. Baths No. Floors No. n. Rooms No. Ilings 7 TYPE ❑OTHER !'- Certifi.ofExempt. Required Yes No Number WORK ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL or Variance Received Yes❑ No❑ DESCRIBE WORK 8 c4f, Shorelines/ Flood Hazard Plans Required ❑ 1 Yes❑ Not Applic. ❑ Received ❑ VALUATION SOOURCE GAS ELEC RIC WA ER PUB9• SEPWAGE Ownership FEES COLLECTED UTILITIES PRIVATE ❑ SEWER 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�� 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 RfAHtMED INSPECTIONS Plumbing SIGNATURE OF APPLICATION OWNER OR A T - DATE Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE � � � C LA G C �0p� i j .tom 7 3 C�-�1 i �T /lam Plan Check Env. Health ` I /! w �{ SEPA Planning Modular/ Fire MFG. Home Prevent. Engineer I F110 Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tech, IN 180 DAYS t �f Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1l � DAT;I�UE; '� T PERM14mb , 0 � * 3 5 u. 10 li aQ�Al_ 0 C C u u L-- T / 7SL/C Y 45' 3G �S .coS�� til