1983, 08-11 Permit: 83A-7644 Boiler PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY - 7(04-L--
CNORTH 811 JEFFERSON /SPOKANE,VOASHIN'GTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS /s PARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWN= PI E PHONE
/`- ,9 VC/-1 ‘J�'t '7/E- f , ---1,24.,✓
3. MAILING ADDRESS r / . ZI ZI r� / Actual Set Backs in Feet to:
�e 4/ L/ North South East I West
CONTRACTOR LICENSE EXPIgt:S PHONE Size of Parcel Zone Classification Residential❑
BANNER FTTRNACF & FURL, TNC. 4 '' Y�" . 535 1711 Commercial❑
f.4 E ZIP 99202 Type Const. Occupancy Sprinklered 0 Ll * * 1 6 0 0
R�.�BOX 4346 ❑Yes ❑No ❑Reg'd.
* 1 6.008
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
A
* C. 0 E,5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
76a.3 =
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. 0s'- 1 1 — P. 3
/ No.Baths No.Floors No.Fin.Rooms No.Dwellings 7 6 a 7 9
TYPE 0 NEW 0 ALT. 0 AD'N. -�J RPL. ❑ MVE.
7. OF OTHER
WORK 0 BLD. ❑ PLMB.,'MECH. ❑ M.H. ❑ POOL Cevaii ance Exempt. Required Yes No❑ Number
or,t / { Received Yes No El
8.
DESCRIBE
l�E,Z. f.e., �1 i$Z,./Z -4.'J /le /5' %Z/4- esO Ines Not A plic.0 Plans Received ❑
_ _ _ i
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED °
9OF PUBLIC❑ SEPTIC❑
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
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 REVERSESIDEFOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF------7_,/, APPLICATIONej _ Mech. / G,z> 1
OWNER OR AGENT C-✓/��'/`y 7" !_E e"zf"> ' DATE c1 4s
i t
/
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE i
Env.Health
SEPA 1
Planning
Modular/
MFG.Home a
Fire a
Prevent. a
Engineer Other(Specify) W
9 J
UtilitiesLL t
TOTAL $ /6, re
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 r. 77 �j
Buildingeh. 7 1 IN 180 DAYS DATEOISSUED 1._8 PERMIT"NO. • 4 z * 16. 0 0 4d*AL
Tech. 7