Loading...
1983, 03-11 Permit: 83A-1731 AdditionPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPA"ITMENT OF BUILDING & SAFETY �� -1'13 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. 1. '-� 4- 1 uNrllGrz--;%-VY 5�'}-1�-\�-. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. - :Zv��ria► I OWNER PHONE PHONE 3. MAILING ADDRESS ZIP Actual Set Backs in Feet to: �l u Yl3 i \J F✓t2S �"C1 Ot North r South East West (_ns 1 CONTRACTOR LICtENS EXPIRES PHONE Size of Parcel Zone Classification Residential 4. �' dC C b 3-�l;✓'a 1?�a�%l,'�(,l V5.Commercial ❑ r' ADDRESS ZIP T Const. Occupancy Sprinklered �. t�tj 1�3.� Dyes [:]No ❑Req'd. DESIGNER PHONE New Const. Valuation &Todeled Valuation Total Bldg. Floor Area 5. --•lr �--3 3 ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse iA�. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. — t� -Z- TYPE No. Baths No. Floors No. Fin. Rooms No. Dwellings EW 11 ALT. AD'N. ❑RPL. El MVE. 7. ❑OTHER Certif Lof Exempt. -T Required Yes❑ Noin Number ,.❑ WORK J oLD. ElPLMB. ElMECH. 11M.H. ❑ POOL or Variance Received Yes❑ No❑ DESCRIBE WORK 8 Shorelines/ Flood Hazard Plans Required JE • AO 10 1-rL \n Yes ❑ Not Applic. ❑ Received >� VALUATION 9 I SOURCE OF GAS ELECTRIC WATER PUBLIC ❑ SEWAGV SEPTIC 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 Building j .0 work will be compiled 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. S REVERSE SI FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF _ APPLICATION _ I OWNER OR AGENT • DATE Mech. SPECIAL AP VALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health �I(d 1-'inVil� 3 SEPA Planning Modular/ MFG. Home > Fire Prevent. Other (Specify) a C C. Engineer N A, U u Utilities TOTAL $ Z Sc� SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Plans3 Exam. /� PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS (� �j _ 1 1 - 8 j 17 3.125 * 7 5.0 0 Buildingq Tech. i ��{© 6 DATE I3Sf PERMIT NO. TOI'AL I -To ` lJ► t►> iy ?cF�--� t�i Vj