Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1983, 05-13 Permit: 83A-4033 Mechanical Fixtures
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 611 JEFFERSON / SPOKANE, WASHINGTdN 99260 / (509) 456-3675 1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION: 2. OWNER i PHONE PHONE 4. 5. ADDRESS LICENSE EXPIRES PHONE • ZIP PHONE ZIP North South East west Size of Parcel Zone Classification Residential ❑ Commercial ❑ Type Const. Occupancy Sprinklered ❑Yes ❑No ❑Req'd. New Const. Valuation I Remodeled Valuation I Total Bldg. Floor Area Main Floor I Upper Floors I Garage/ Storage I Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Untin. Basen s. No. Baths No. Floors No. Fin. Rooms]7Numb- llings TYPE 8'NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE. 7. OF ❑OTHER ❑ BLD. ❑ PLMB. �I ECH. ❑ M. H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ WORK or Variance Received Yes❑ No❑ DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑ 8• • Yes❑ Not Applic. ❑ Received ❑ VALUATION SOURCE OF ELEC IC WATER PUBLIC ❑ SEWAGE SEPTIC ❑ Ownership FEES COLLECTED 9 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 ovisions of laws and ordinances governing this type of Building work will be compiled with whether specified herein or of he granting of a permit does not presume to give au- thority to violate or cancel the provisions of any of a or local law regulating construction or the performance of construction. SEE REVERSE DE FOR REQU INSPECTIONS Plumbing SIGNATURE OF — APPLICATION OWNER OR AGENT DATE Mech. SPECIAL APPROVALS SPECT L CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE / �QJ ©�i' e 10 � Plan Check Env. Health SEPA Planning `—%' Modular) MFG.Home Fire Prevent. Other (Specify) Engineer Utilities TOTAL $ SEPA MACHINE VALIDAi Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tech. IN 180 DAYS ((jj c, j 3 -8 3 DATE4SSUEf� PERMIT NUMBER PERMII`N8. 3• 3 z * 2 8' T&AL