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HomeMy WebLinkAbout1983, 09-27 Permit: 83A-9588 Reroof PLAN NUMBER APPLICATION/PERMIT P RMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY t 9 S5€ �� NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. IROS Igtf� E . 716 z-zone} LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. 3. OWNER 0 EAIJ cw4e�e PHONE PHONE Si3a MAILINGADDRESSl/J^ UI(CAZIIP D ! Actual Set Backs in Fee to: 11 G I t-So 5 1 E3- North Isot t 11 I West / CONTRACTOR L LICENSE EXPIRES PHONE Size of Parcel ZoneClassi ication Residential I 4. Si✓t& S A L-5 Co N-TY�ACttr to`g,f3`-1 Q zt, -Z 17 9 Commercial❑ ADDRESS � ox l 33 1 ©s Type nst., OccupancySprinklered x T� �Av) e ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 7, 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse i CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement - 1 6. - � / No.Baths No.Floors No.Fin.Rooms No.Dwellings r' 7. TYPEOF L9"N W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ OTHER WORK �' "`D. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number or Variance Received Yes❑ No❑ DESCRIBE WORK r� (� Shorelines/Flood Hazard Plans Required❑ 8. F_ ¶1 ut.0 . - 71� S Yes Not Applic.❑ Received ❑ 2VALLU•A�TION SOURCE GAS ELECTRIC PUBLIWATC❑ SEPTIC O Ownership FEES COLLECTED 9 7 7/,� 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 S 4 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 %� OWNER OR AGENT ' DATE 9 v�7--3 Mech. SPECIAL AP VALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env.Health SEPA Planning Modular/ Fire MFG.Home )- Prevent. d O Engineer Other(Specify) V W J Utilities s-- — Li TOTAL $ SEPA Plans PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Exam. THIS BECOMES A PERMIT. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building 9( IN 180 DAYS � q �27 -83 958, 8 ° * 54.007_ DATE ED PERMIT NO TOTAL