HomeMy WebLinkAbout1983, 05-18 Permit: 83A-4205 Remodel PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY8Sio' —4' 5-
- NORTH 811 JEFFERSON /SPOKANE,WAS#1INGTtSN 99260/(509)456-3675 -
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. N.. 311 Nt..tv(......-r. 1154+ - 2,./6 2/
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. at6 a . Lam-i o a)..fe,-OG04-
MAILING ADDRESS ZIP Actual Set Backs in Feet to: �.k i 'r t f•-•)($ '
N• 51% W dt LN 4.4:1GICt'2..JG North 'South East `West /
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential Lel
� rw Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
"'✓J ❑Yes 0 N ❑Req'd.
DESIGNER PHONE New Const.Valuation R m eled Valuation Total Bldg.Floor Area
r5,in 3241..
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
TYPE ❑ EW /ALT. ❑ AD'N. ❑ RPL. ❑ M VE. No.Baths No.Floors No.Fin.Rooms No.Dwellings
7. OF ❑ OTHER •
WORK ALD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ NoGi Number
or Variance Received Yes❑ No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required
8. c co-)J e Z G,r1/4 ,,E -rp f-, ,� y.,,` J�--t-�p:,, y- Yes❑ Not Applic.El Received 101
AL VALUATION SOURCE GAS ELECTRIC WATER SEWAGE/ Ownership FEES COLLECTED
�OP UTILITIES OF PUBLIC❑ SEPTIC C
PRIVATE❑ SEWER❑ Public El 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 Zv°
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 OF APPLICATION cc
OWNER OR AGENT DATE �L.,"/ 7-83 Mech.
SPECIAL APPROVALS SP CIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
NJe. SEPA
Planning Modular/
MFG.Home !,
Fire iZ
Prevent.
O
Engineer Other(Specify) W
J_
Utilities
_ TOTAL $ 2o.27
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plan, THIS BECOMES A PERMIT.
Exam. /7 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingIN 180 DAYS 2 O 5 0 * 2 C,L 1 2 l-
er
Tech. 1
DATE 11.411.18 —8 3 PERMIT Ni) Or
5-17-83
18 -0 1 FLOOR PLAN FOR DETACHED
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