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1984, 04-12 Permit: 84A-3286 Carport EnclosurePLAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON f SPA .KANE, WASHINGTON 99260 / (509) 456 -3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 223 LOT 2. 4. ADDRESS OWNER BLOCK MAILING ADDRESS CONTRACTOR • DESIGNER ADDRESS SUBDIVISION PHONE PHONE i2 -283 ZIP PARCEL NO. LEG AL DESCRIPTION: Actual Set Backs in Feet to: LICENSE EXPIRES PHONE ZIP PHONE North South Size of Parcel New Const. Valuation East West Zone Classification Residential ❑ Commercial ❑ Spr'nklered ❑Yes 0 N ❑Req'd. CHANGE OF USE FROM TO ZIP TYPE 911..NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7. WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL OTHER 8. DESCRIBE WORK t, n n©K r ct �— VALUATION 9. SOURCE UTILITIES GAS ELECTRIC WATER PUBLIC 0 PRIVATE D SEWAGE SEPTIC ❑ SEWER ❑ Main Floor Cover Deck No. Baths Total Bldg. Floor Area Uncv. Deck No. Floors Certifi. of Exempt. or Variance Fin. Basement Greenhouse No. Fin. Rooms Required Received Yes❑ Non Yes❑ No El Shorelines /Flood Hazard Yes❑ Not Applic. ❑ Ownership 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 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 REQUIRE I INSPECTIONS SIGNATURE OF �J OWNER OR AGENT(, `'L -/0"eJ APPLICATION DATE — /-7 SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. A SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) fJ ps A ®r•) — kr-oWl - Fl Wise iafer PERMIT 1S NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Unfin. Basement No. Dwellings Plans Required ❑ Received ❑ FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) cv TOTAL $/ �- PERMIT NUMBER 4- 32 *2800 *28.006 R *000 8 328.5 04 -12 -84 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. +I r♦ R /� DATEED1 2-0 4 PERMIT%16. 8. U 2 *28.00 AL