1982, 02-01 Permit: 82A-737 PatioPLAN 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 3 COPIES
1.
2.
3.
4.
JOB ADDRESS ,.��II
ET 1 I LO1K'SUBDIA L Li91
ridgy =ter 1 -- r / d L�s ii
OWNER.�Y�j Nl P i
AD,D�E 5 AL r 115: ZIP
Yi l 'L`'- �„i �'
CONTRACTOR /�
(,L . 0 �[5. ( e—C-4\1S
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North 'South
East I C%
1West! C
A DJ) R ES$
DESIGNER
5. ADDRESS
NE
PH
:44 —V l
9, "2-0 '?"
Size of Parcel
Ilex
Zo e Classific tion
Type :nst.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
rJ ALT. ❑ AD'N.
❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Rza'd.
DESCR
8.
BE WORK
*110 z- }c ZD)
Enum. Dist. Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private C3
/USE CODE
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 authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / /2-(17- / %?- SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. ealth
Planning
Fire Marshall
I1'2 .
Co. ngineer �,r�� �'/^�
t°cYY .
Utilities
Exam •
SEPA heckli
g T= iJj$ian
S2:I/11L CONDITIONS:
*2(1P2-
�) tvvisi I.t lb oU ■i■j_ 62..- 2- -37-)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building =
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $e%
PERMIT NUMBER
7 &7
02* *9600
* 9600
* 96006
A *000 8
73.12
02-01,-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 2't,01
824 73.75 *96.00 -
DATE ISSUED PERMIT NO. TOTAL
q,LI 5-66c
Lol-
13i,o0K.
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