HomeMy WebLinkAbout1983, 12-14 Permit: 83B-2503 ResidencePLAN NUMBER - APPLICATION/PERMIT -
SPOKANE COUNTY - DEPARTWW -OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PA7777
1. E it -11-7-31
LOT BLOCK SUBDIVISION _ LEGAL DESCRIPTION:
2. I (J'
OWNER IPHONE IPHONE
3. C ._.k v�_ ti i ---
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
1
North �J`j South East
;?;It West S ,
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4. U �E T X13 rJ
21-%lZ
G�`5 tC 13r� ia�t 172L >c
jZ — l
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
'Z AUC
Q�C�Qj
Q� ..
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
t. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
'5.-7 �
.�
ADDRESS
ZIP
r Upper
Floors
Garagel Storage
Greenhouse
��
CHANGE OF USE FROM
TO
ck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
fNo.
TYPE ❑ALT. ❑AWN. ❑RPL. ❑ MVE.
No.
Floors TNo.
Fin. Rooms
No. D ; llings
_%
PNEW
❑OTHERExempt.Required
WORK "Q BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Yes❑ No
Number
ce
Received
Yes❑ NoC 1DESCRIBEWORK
8's❑
orelines/Flood Hazard
Plans Required
Not Applic. ❑
Received LLh'
VALUATION
9•
I SOOURCE
GAS I
ELECTRIC
I P ATEUBLICR
SEPTAL O
Ownership
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER L/
Public ❑ Private 114
1 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
'34-Z App
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,sREOUIRED INSPECTIONS
Plumbing
SIGNATURE OF
OWNER OR AGENT'S<//�� DATECATION gam/ 2�
Mach.
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
12
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
? OPbcp t C �Z G
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $- I
WHEN MACHINE VALIDATED IN THI
THIS BECOMES A PERMIT.
PERMIT NUMBER
E,
DATE I gic l 4— s 3 PERMIT . O' 3 z * 3 4 22 0 0 �. 4
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