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1983, 04-04 Permit: 83A-2548 Remodel
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 8-2)-3A " eq'2.-' VNORTH 811 JEFFERSON /SPOKANE,WASHINatON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. _ 1. E. V3‘15 itkc,.'te..` z-7. --+.1 T'-4-1 - 14.)7..._ LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: ' Tr-7 r--4, tiOWNER ,,AI PHONE PHONE 3 ` l_P3 ACX:1' rv�., CI.U,,-'; ‘C..,. _ MAILING ADDRESS ZIP Actual Set Backs in Feet to: Gx,`�3`rt NG` .13l 1 S `�A.t_TESc=. 4t(X11 Co North 'South East `West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ 4 Lt a'C6r=iCJ cvv cioc4..i ix.-4.- 1 4-e -S715 AG.�.Lry Commercial❑ ADDRESS ZIP Trm Const. Occupancy Sprinklered M. Co 17. AL.'ctL . .O.v. got -45-7 - ",,t R.. 'J ❑Yes CI No ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 5. — 4,2t0c2 o , ADDRESS ZIP Main Floor Upper Floors 'Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. =. --- No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE 0 NEW I'ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 1 1 7. OF ❑ OTHER WORK tALD. O PLMB. ❑ MECH. ❑ M.H. ElPOOL CVariaonfceExempt. Required Yes No/ Number or Received Vest: No DESCRIBE'WORK Shorelines/Flood Hazard Plans Required❑ 8. (r ut1....crsE lara.c.e2 -WA,/ Yes❑ Not Applic.❑ Received ❑ VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership 9. OF PUBLIC❑ SEPTIC E7 Public❑Private Off COLLECTED �},,-�'7C UTILITIES PRIVATE❑ SEWER❑ 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 Building 631.00 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 INSPEC IONS Plumbing SIGNATURE OF APPLICATION OWNER OR AGENT' ._ '.,.Li/ DATE _ — I Mech. SPECIAL APPROVALS SPECIAL CONDITIO S: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE 're AO?. Li C.• 2-4y©N ' '''S f Plan Check Env.Health (9141r SEPA Planning Modular/ MFG.Home Fire a_ Prevent. O U Engineer Other(Specify) LU J LL Utilities ��1 TOTAL $ Co( -6rV SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans // THIS BECOMES A PERMIT. Exam. A4t�-/ PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building4/7145 IN 180 DAYS nn __ n p !� Tech. /� 3 DATE 1 14ETY 0 4 — 8 % PERMIT 1205 4 8 ° * 61. 0 0-4TiiL