HomeMy WebLinkAbout1980, 10-14 Permit: 80B-1983 Insert PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
0.1
SOKANE COUNTY - BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
G4 * * 7.00
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
J N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 7.00
2.
OWNER PHONE A * 0 u 0 U
Mf-r' I1° Pl� 9 ' 0-37P3 ADgQESS 1 r-, A A , i Actual Set Backslin Feet I 1 9 8 2 0_ 1 4_8 0
Fvi /lt` {LX`Y' / North South East West
CONTR CT R PHONE Size of Parcel Zone Classification
�' X479,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF �/ LIOTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. ❑ PLMB. Ldl MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WCAK Enum. Dist. I Location (Area) T
8 r ��✓Ai`? G� r trj I
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9, r UTILITIES Public ❑Private 0
Single $
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
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority 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 'NS Plumbing
p� / / / 7 L)
DATE OF APPLICATION zo-/ d SIGNATURE OF APPLICANT",1��_.t.=«+mearYI, Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
,
Planning
u
Mobile Home
Fire Marshall —
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.g A41110T ian PERMIT IS NONTRANSFERABLE 'i Q -1 TO �.'O >k �, a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL