1979, 10-01 Permit: 79-5003 Patio CoverPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1.
JOB ADDRESS I I X A VOY 1
LEGAL DESCRIPTION - SEE ATTACHED
2.
LOT
1,V2
BLOCK
SUBDIVISION
PARCEL NUMBER /S 10
3.
OWNER
n c2v
ADDR SS
I (2 ALOI
C O N AAIsCI)
4' ADDRESS
PHONE
t�%/,45
P9,616
HONE
Required/ Set Backs in Feet
ed
North f % 'South
East West 2-6)
"o
Size of Parcel
Zone
Classificati
ZI P
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area 1 Storage
CHANGE OF USE FROM
6.
TO
Split Entry
TYPE
7. OF
WORK
❑/NEW ❑ ALT.
M BLD. ❑ PLMB.
E AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
CERTIFICA
of EXEMPTI
Split Level
No. Floors No. Rooms
TE
ON
Req'd.
Rancher
Rec. Room
Rec'd.
Not Req'd.
DESCR/IIBB /WORKK
8. r `1,V Ci
LUAT ON
9. 100
1 hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE 741/7
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other statefe. local law regulating construction or the
SIGNATURE
fr�
SPECIAL APPROVALS
DEPT. REQ'D.
Env. Healtt.
REC'D.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL C NDITIONS::
"Vv
2:00 ' rKi a/1 1) )
r
DATE % OFFICIAL
6\)1)
APPROVED FOR ISSUA''CE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
1-.
TOTAL $
( PER T UMBER
DATE
02* *2300
*2300 V)
*23.006
E *0.00 °
479,72
09 -27 -79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS. ECOOMES AP E.RMIT.
500.35 *23.00. °i
lo