HomeMy WebLinkAbout1983, 04-26 Permit: 83A-3323 Mechanical FixturesPLAN NUMBER APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM I TO ' Cover Deck I Uncv. Deck I Fin. Basement I Unfin. Basement
6.
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APPLICANT: COMPLETE NUMBERED SPACES -
PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1 .
// 9 r>` i1 ) 1� "
�" � � �f�
PARCEL NO.
Lor
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
Certifi.of Exempt.
Required Yes N ❑
Number
WORK
or Variance
OWNE PHONE
PHONE
DESCRIBE W K _(
Shorelines/ Flood Hazard
Plans Required El8.
0 C<%', LL j h� �C-�i y—T''b�— �" ,<_ li. �
Yes Not Applic. L1
3.
VALUATION
SOURCE
GAS
ELECTRIC
MAILIIj�/GI ADDRESS
SEWAGE
1-19•
Ownership
ZIP
ActualSet Backs in Feet to:
/ ` , (- •, C S :
1,A —
y _
North South East West
CO TRAC ORll�
SEWER ❑
Public ❑ Private ❑
LICENSE EXPIRES
P p E_ r
!
Size of Parcel
Zone Classification
Residential ❑
'Q` ^
4.
�
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
�I
Plumbing
SIGNATURE OFAPPLICATION
l lr DATE —��
Commercial ❑
AppRESS
SPECIAL APPROVALS
ZIP
Type Const.
Occupancy
Sprinklered
I`
) .x '�
Env. Health
Dyes L1 No ❑Req'd.
.�
DESIGNER
SEPA
Modular/
Planning
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
MFG. Home
Fire
ADDRESS
Prevent.
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM I TO ' Cover Deck I Uncv. Deck I Fin. Basement I Unfin. Basement
6.
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No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW El ALT. El AD'N. El RPL. C] MVE.
NEW
7 J1�4.
El 1-1PLMB. �MECH. ElM.H. El POOL ❑OTHER
Certifi.of Exempt.
Required Yes N ❑
Number
WORK
or Variance
Received Yes El No ❑
DESCRIBE W K _(
Shorelines/ Flood Hazard
Plans Required El8.
0 C<%', LL j h� �C-�i y—T''b�— �" ,<_ li. �
Yes Not Applic. L1
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
WATER
PUBLIC 1-1SEPTIC
SEWAGE
1-19•
Ownership
FEES COLLECTED
I
UTILLIITIES
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 REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OFAPPLICATION
l lr DATE —��
Mech.
OWNER OR AGENT
SPECIAL APPROVALS
SPEC IA . ONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Modular/
Planning
MFG. Home
Fire
Prevent.
m�
Other (Specify)
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building zuIN 180 DAYS
PERMIT NUMBER
*2- 0
20006
*200Y
3321-
04-2 -83
647
04* *22.00
*22:00
A *0.00 0
3322.13
04-26-83
13 6479.
Z
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESLLA PERMIT.
DATEISSU D— U J l PERMIT NO. �� z 3 6* l OTOfAL'_
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