1980, 10-16 Permit: 80B-2131 Deck AdditionPLAN NUMBER n
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�al��o 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
JOB ADDRESS
5. /7z? .3e777)M/4,))
LOT
BLOCK
3
SUBDIVISION
(Afe�c% V/&Lv /1/44S
OWNER
3 s 4.-01eiz ,Q . ilryt5.,
ADDRESS
/?e2
rl7r7/41v.
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
2s53c-08o/
4.
CONTRACTOR
vot?/l
ADDRrESSS--
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
e BLD.
❑ ALT.
O PLMB.
ZIP
9926 ,-
PHONE
Actual Set Backs in Feet
North -2-71 7' (South
[East /3 West G
ZIP
Size of Parcel
/?5,k /SO
Type Const. I Occupancy
tf-►Jt /L-.3
Zone Classification
Sprinklered
❑Yes ONO ❑ Req'd.
PHONE Val °tion Building Area in Sq. Ft.
C{ c?o .4te,8
Main Floor I Upper Floors Garage Area I Storage
ZIP
TO
L:1 AD N.
0 MECH.
O RPL.
O M.H.
❑ MVE.
❑ POOL
ge.OTHER
Area of Decks Finished Basement Unfin. Basemen
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. A.C.40/Pcs0
Enum. Dist. I Location (Area)
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC WATER
SEWER
Ownership
Public 0 Private
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions include°
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
elm►
DATE OF APPLICATION °`� SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
En t ,%// /0'
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
'rotV Po VI'L..60
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
Lir
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ (1.66
PERMIT NUMBER
5 -2431
02* *17,00
* 17,00
* 17,006
A *0.00 0
201.72
10-15-80
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�10w1:6`-�8'0 213.1 *17.0'LT-12
DATE ISSUED
PERMIT NO. TOTAL
Zie- 77 4,