1983, 05-11 Permit: 83A-3888 FurnacePLAN NUMBER
SPOKANECOUPYPLDEA RTON/PERMIT
NT
l� NT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WAMINGTON 992an / 1sn01 ecc 0&-
0T
1.✓IC�
Ly BLOCK
2. t
• . UvlVlrLt I E NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Tib PARCEL NO.
'U"ON N 9 '�A LEGAL DESCRIPTION:
3. PHONE PHONE
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
CONTRAC
el
LICENSE EXPIRES P ON
Nath South
East West
4.
ADD ESS
Size of Parcel
Zone Classification
Residential ❑
Commercial
DESIGNER !
Q�
Type Const.
Occupancy
❑
Sprinklered
PH NE
5•
w Const. Val
NeValuation
Dyes ❑No ❑Req'd.
ADDRESS
Remodeled Valuation Total Bldg. Floor area
ZIP
CHANGE OF USE FROM
Main Floor
Upper Floors
Garage/Storage Greenhouse
6,
TO
--------------
TYPE
Cover Deck
Uncv. Deck
Fin. Basement Unfin. Basement
EW ❑ ALT. ❑ AD' N. ❑RPL. ❑ MVE.
7• OF - /
WORK ❑ BLD. ❑ PLMB..f3 ❑ OTHER
No. Baths No.
Floors
No. Fin. Rooms No. Dwellings
MECH. ❑ M.H. 11 POOL
DESCR WOR -
8.
CeVa i. of Exempt.
or Variance
Required Yes❑ No❑ Number
V
Shorelines/Flood Hazard
Received Yes No❑
VALUATION
9
SOURCE GAS ELECTRIC WATER SEWAGE
Yes❑ NotApplic. ❑
Plans Required ❑
Received ❑
UTILOITIES PUBLIC ❑ SEPTIC ❑
PRIVATE 1-1
Ownership
SEWER ❑
I hereby certify that I have read
Public ED] Private ❑
FEES COLLECTED
and examined this application and have read the 'reverse side, and know the same to be true and correct.
NOTICE"
provisions
included
All provisions of laws and ordinances
work will be complied with whether specified herein
on
governing this type
or not. Th
thority to violate cancel the provisions of any other statee granting of a permit
of
does not presume to give au
Building
of construction. SEE or local law regulating construction
E REVERSE SIDE FOR REQUIRED INSPECTIONS
-
or the performance
SIGNATURE OF
OWNER OR AGENTy CATION
mmmwwm�enr
Plumbing
DAPPLIATE
�•�"+rrrtV VALJ
PRELIM. FINAL D,
Env. Health
Planning
Utilities
Plans
Exam.
SPECIAL CONDITIONS: (SEE R , VERSE SIDE FOR NOTICE)
P1 P1 �Ief ( sc"
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Mach.
Plan Check TT����—
SEPA _
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
r,
-
mr—
MBE
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DATE 1eb 10 PERMIT NO' 0 8.8 z ��iOJ
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