Loading...
1984, 04-27 Permit: 84A-3828 ResidencePLAN NUMBER TO APPLICATION/PERMIT Uncv. Deck Fin. Basement SPOKANE COUNTY ="'DEPARTMENT OF BUILDING & SAFETY Unfja Base ent 6. NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 -e APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1 STREET ADDRESS T PARCEL NO. f LOT I 2.2p BLOCKSUBDIVISION 3 LD E [ r I� LEGAL DESCRIPTION: OWN EPHONE Z ( _ Certifi.ofExempt. Required Yes❑ No❑ Number 3. or Variance Received Yes❑ No❑ DESCRIBE WORK�, / i 8• MAILIS �Ft Plans ZI[p��� �, -1 Actual Set Backs in Feet to: 6.104 t� Received !iv �© North South East West CONTRACTOR ELECTRIC LICENSE EXPIRES PHONE Size of EarcelZo neClassif!cation Residential UTIL RVAT ❑ SEWER 4. ADDRESS I hereby certify that I have read and examined this application and have read the "NOTICE" ZIP TyUrqnst. Spr❑Norte 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 ❑Yes ❑Req'd. DESIGNER of construction. SEE REVERSE SID FOR IR INS IONS Plumbing PHONE N Coast aluaSfi;Me� I Remodeled Valuation Total Bldg. Floor Area t�[t� DAT r1WNt=R OR Af:FE_ NT /O/1� Mech. 5 ADDRESS ZIP Main FFloo Upper Floors Garage S rage Greenhouse - CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfja Base ent 6. �j TYPE NEW ❑ ALT. ❑ AD' N. 11 RPL. 11MVE. No. Baths No. Floprs No. Fin�poms No. Dvfellings ` 7. WORK BLD. ElPLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑OTHER OF Z ( Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ DESCRIBE WORK�, / i 8• Shorelines/Flood Hazard Plans Required (D 1 yes Not Applic. ❑ Received VALUATION 9. I SOURCE O GASITIES ELECTRIC WATER tISEPTIC ❑ SEWAGE Ownership Public ❑ Private' FEES COLLECTED UTIL RVAT ❑ SEWER 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 SID FOR IR INS IONS Plumbing t SIGNATURE OF �/�/J�t v APPLICATION �� t�[t� DAT r1WNt=R OR Af:FE_ NT /O/1� Mech. SPECIAL APPROVALS PRELIM. FINAL D Env. Health , 1 Planning �V Utilities SEPA Exam SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE '- PERMIT PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMITNUMBER i p0 TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATVISSUED� k PERMIT�W.2, U z * 5 2 1, U 0 TOTAL In L