HomeMy WebLinkAbout1983, 05-04 Permit: 83A-3635 CarportPLAN NUMBER - APPLIICATION /PERMIT - -
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM TOer Deck Uncv. Deck Fin. Basement Unfin. Basement
6. 3Z,
No. Baths
APPLICANT: COMPLETE NUMBERED SPACES -
PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
. �.
TYPE ElNEW 11ALT. SCJ AD' N. ElRPL. ❑ MVE.
PARCEL NO.
7 I - '2.0ra 15�
2
Lp� BioCK
suBwlu�
LEGAL DESCRIPTION:
OWNE
MCIvl'�
N
PHONE
WORK
3.
Received Yes❑ No❑
DESCRIBE WORK �z
8•
Shorelines/ Flood Hazard
Plans Required /
I a= X
Yes El Not Applic. ❑
M NG AiDDR SS
`
VALUATI
S
Zip
Actualt Backs in Feet to:
WATER
PUBLICl
/ 1 2 C
3
North I South East—ZQ West
9
CONTR CT
R
LICENSE EXPIRES
HONE
Size of Parcel
911, �
Zone Classificatio
!
Residenti
Commercial ❑
4.
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building1`'
thority to violate or cancel the provisions of any of a or local law regulating construction or the performance
�
Plumbing
Y IL
SIGNATURE OF _ APPLICATION
�7
ADDRESS
OWNER OR AGENT DATE d�
ZIP
Ty t.
VQ�1{
Occupancy
i
Sprinklered
❑Yes ❑No ❑Req'd.
Plan Check
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
SEPA
Modular/
Planning
5.ADDRESS
MFG.Home
Fire
Prevent.
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM TOer Deck Uncv. Deck Fin. Basement Unfin. Basement
6. 3Z,
Kt
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building Iq„ / IN 180 DAYS
PERMIT NUMBER
b3l--363
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATETSSUEDO — PERMIT. 5. 5.z * 3 6.O 0 �tAL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE ElNEW 11ALT. SCJ AD' N. ElRPL. ❑ MVE.
7. OF ❑ OTHER
Certifi. of Exempt.
Required Yes❑ No 1-1
Number
Z BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
or Variance
Received Yes❑ No❑
DESCRIBE WORK �z
8•
Shorelines/ Flood Hazard
Plans Required /
I a= X
Yes El Not Applic. ❑
Received 13
VALUATI
SOURCE
GAS
ELECTRIC
WATER
PUBLICl
SEWAG
SEPTIC
Ownership
FEES COLLECTED
9
UTILILI TIES
PRIVATE El
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
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building1`'
thority to violate or cancel the provisions of any of a or local law regulating construction or the performance
of construction. SEE REVER IDE FOR REOUIRED INSPECTIONS
Plumbing
Y IL
SIGNATURE OF _ APPLICATION
�7
OWNER OR AGENT DATE d�
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Modular/
Planning
MFG.Home
Fire
Prevent.
Other (Specify)
Engineer
Kt
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building Iq„ / IN 180 DAYS
PERMIT NUMBER
b3l--363
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATETSSUEDO — PERMIT. 5. 5.z * 3 6.O 0 �tAL
3z^IPC-
310 AVF
STar`" PIE' ; - .
12.00 e 3