1983, 07-25 Permit: 83A-6189 Furnace, Heat Pump PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY d -C,I /
r - NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 /
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3 :r: ?)izos.67 codusre, la ii-sr ap
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
''. 6, )3o/ /3383 S ak w,1 = _ 9a/..3 North South [East I West
CONTRACTOR ; I LICE S EXPIRES P ONE Size of Parcel Zone Classification Residential 0
4. '. ► : 5 , r- - j c - 8 3 dal-076 O Commercial❑
ADDRESS ZIPIPType Const. Occupancy Sprinklered
e''' '4 716 MAVS��/6 Q /L ! c90 ❑Yes ❑No ❑Req'd. _
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse %. •j
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 pi NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER
WORK
0 BLD. 0 PLMB. XMECH. ❑ M.H. ❑ POOL Certi i�.o Exempt.ptRequired Yes❑ No I: Number
or Received Yes 0 No❑
8. ADESCRIBE WORK r Shorelines/Flood Hazard Plans Required 0
u�R/VhcF b uc-T Lo dRK c ,('� r' / 4 flT Yes Not Applic.0 Received 0
VALUATION SOURCE GAS ELECT IC WA E� SEWAC E Ownership FEES COLLECTED
9. UTILITIES 0
PRIVATE 0 SEWER 0 Public 0 Private 0
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 REVERSE SIDE FOR REQUI ED INSPECTIONS Plumbing
SIGNATURE OF - APPLICATION �`7 a'D
OWNER OR AGENT DATE i S3 Mech.
SPECIAL APPROVA S SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health ,��(�?. /0, trD
SEPA
f
Planning 7i.4A4t , Modular/
I�
MFG.Home >-
Fire Df�.cx" ' S d
Prevent. O
En ineer [/ Other(Specify) W
g nJ_
LL
Utilities / Y 5-0
TOTAL $ 9,
SEPA /9r lip
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 'i — ') 5 — � 1 8 9 o * 1 9.0 0 °
Building '/
•crl\O IN 180 DAYS
Tech. DATE ISSUED PERMIT NO. TOTAL