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1983, 10-24 Permit: 83B-782 Residence
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY tEis z%-a, - -79' .- () NORTH 811 JEFFERSON/SPOKANE,WASHIt 'GTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1• STREET RS_Iil-Oi iffirl PARCEL NO. r LOT BLOCK SUEDI 2. N LEGAL D�eESCRIPTION: 2 i 6 ` i I OWNER PHONE PHONE 3. 2)4\1 --r' 2)-g-'lcep MAILING ADDRESS Z p Actual Set Backs in Feet to:, .f • 61-- '4'C )- 'ik �ZJ G _North [South 4-0EastI West 14- / CONTRACTOR LIC NSE EXPIRES PHONE Sizpof Parcel t� Z ne Classification Residential 4. l() >< 00 J Kci("-. Commercial D ADDRESS ZIP Type n . Occupancy Sprinklered (p� MJ i` ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Valuati n .„, Remodeled Valuation Total Bldg.Floor Area 5. ei. � ADDRESS ZIP Main FI Upper Floors Garage S orae Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. 1-2-74-- No. Baths No.Floors No.a,l.Rooms No.Dwillings 7• TYPE 4 W ❑ ALT. ❑ AD'N. CI RPL. ❑ MVE. CIOTHER �' / WORK ”' BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yesf�1 No Number or VarianceReceived Yes❑ N 3 `PSS 8 DESCRIBE WORK , Shorelines/Flood Hazard Plans Required .- 0 L� j I,U/ ( F� Yes❑ Not Applic.❑ Received f7 VALUATION SOURCE AS ELECTRIC WATER SEWAGE Ownership 9 OF UTILITIES PUBLIC SEPTIC PRIVATE❑ SEWER❑ public❑Private FEES COLLECTED — 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 3 2- 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 R RSE SIDE FOR aEOUI D SCTIONS Plumbing SIGNATURE OF OWNER OR ��l AGENT W ' JJJ7DATECATION 1©-3 d 2 Mech. i SPECIAL APPROVALS S EC� --- CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) 1. PRELIM. FINAL DATE - Plan Check Env.Health iti ? Al4 U SEPA Planning 0-[ fddu Modular/ Fire J MFG.Home )- Prevent. 0 O Engineer (0/ Other(Specify) W Utilities 7Z- TOTAL $ 12 SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans % y� THIS BECOMES A PERMIT. Exam. /41 " f PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Buildin Tech. g 4 / IN 180 DAYS ,, o * 3 6 2'0 (� o / �j DATE ItSl�6 4.-8 3 PERMIT NO? 2 zTBTAL -40 X001 � AQI ' ()pi fti,171 ci sOr-z4;71\1 091\ I Z !+' 001