HomeMy WebLinkAbout1983, 09-23 Permit: 83A-9475 Addition PLAN NUMBER
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APPLICATION/PERMIT PERMIT NUMBER
_ SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY g -
NORTH 811 JEFFERSON /SPOKANE,WASHIf4 ,t,ON 99260/(509)456-3675
(---- APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. , \%(:,‘, W :'iPr.-faw r� 2Z54 .-2... .,m,
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 10 S eigkigget.U' c2_R-c-ti.w t tke iaLw Eir;c"r `,
OWNER PHONE PHONE
3. srw« 2.44.L44 0,4.46124- ?
MAILING ADDRESS ZIP Actual Set Backs in Feet to: -
S. i ;_ LA., !../ 5P( 74,,)N 2-
get F.* North 'South /f�i 4 [East I West -3 l I /
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential IB"
gel: set;'-17)) e.-( Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
N 'e-3 ❑Yes ❑No ❑Req'd.
DESIGNER PHONE Ni Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. V4,`i �. ..--- 1 ,-0,
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
14.C.g,
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 ❑ NEW ❑ ALT. ;e1rAD'N. ❑ RPL. ❑ MVE.
7. OFof ❑ MECH. ❑ ❑ OTHER
WORK BLD. ❑ PLMB. M.H. ❑ POOL Certifi.of Exempt. Required Yes No Number
or Variance Received Yes❑ No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required V„,.
8'4470$(cont --Cb ac"-(C CE ( ,2)( 121 Yes Not Applic.❑ Received E7'
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9OF
UTILITIES PUBLIC Q. SEPTIC�/
PRIVATE 0 SEWER Y� Public❑Privat
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 Cvt.ex'
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 oth state or local law regulating construction or the performance
of construction.SEE REVER., SID FOR REQUI1R INSPECTIONS Plumbing
SIGNATURE OFAPPLICATION _ G
OWNER OR AGENT --�n.� DATE �� —O Mech.
SPECIAL APPROVALS SPE I L CCl-)-7.
IONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home }.
Fire 0-
Prevent.
Prevent. V
Engineer Other(Specify) LV
g J
LL
Utilities
TOTAL $ l6,t'CO
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech mg t$3 I N 180 DAYS DATE IO4EB 2 3 - 8 3 PERMIT 1904 7,5 5 * 61,0 OT@T L
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