1981, 03-05 Permit: 81A-2076 Enclose Carport!PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
JOB ADDRESS
L T
2_
OWNER
3. L1C (ZOGti C142LiD
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ZC1 tc f1LhALDYIJ RD
BLOCK
SUBDIVISION
N161,&&) TA_tA U 1E1" 4.1 4T4 AbC rtcsAJ
4
5.
ADDRESS
' 2q 10 4-LJ . Ltrt/
CONTRACTOR
L: 1U`i . L_ J4lLj / IVS:.
PHONE
ZIP
Q4ZI(.0
ADDRESS
`�. 1211 ii ellt_Awi0
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
7.
TYPE
OF
WORK
M: NEW
i
BLD.
ALT.
` ❑ PLMB.
PHONE
ZIP
G4Zi(
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WORK c,
• ENC.I. c'.'SI- 3 ✓ I ocs L LA9Z *' 'coo_ 61Ak
VALUATION
9.4m5 2`F
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
�EPtIL
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
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
7 44 b 761
Actual Set Backs it F}Gt` r l,t,
North !South 1
Size of Parcel
Typpe�Const. Occupancy
3L.1 V Y R' I
luation
Main Floor
East
'West
Zone Classification
& . 5 t3iut 3 4r
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Upper Floors
Area of Decks
No. Baths
Garage Area
Finished Basement
Storage
Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private
No. Rooms No. of Dwellings
1
Rec'd. Not/eq'd.
Req'd.
Location (Area)
USE CODE
DATE OF APPLICATION F P SIGNATURE OF APPLICAN_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
"�. '2€6'D
Utilities
Plans xamjj�in r
ecklist
Build in / / /yy� echnic.
t
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 $ 44.00
PERMIT NUMBER
OI)ar'Zoi('
02* *44.00
*44.00
*44,006
A *0.00
207.52
03 -05 -81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
207.6 *44002F2 -
PERMIT NO. TOTAL