1981, 10-19 Permit: 81B-0786 Carport AdditionPLAN 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
JOB ADDRESS
1. E.116.07 1300N
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
6ACONIS CrREE/JAGfzES AaoNTtaw
OWNER
3.
ADDRESS
E- 174.01
CONTRACTOR
SR Me
ADDRESS
SPalie
DESIGNER
4.
5.
M,c l-1ACC-
PHONE
01-1.15— —181 s
PARCEL NUMBER/S
W 1/1 OF $cacJc 14-
130c)(4
4
-13ooN
ZIP
AGO1G
Actual Set Backs In Feet
North 'South V Ot `East tot 'West
PHONE
Size of Parcel
ICo0 x
ZIP
Type Const. I
Zone Classification
�o Ac Q. SCMl.T u tzJet—
Occupancy Sprinklered
171—I ❑Ves ❑No 0 Req'd.
Building Area I Sq. Ft.
•V3,6:,caa 10X c0'D-C(0oa)
Upper Floors ,Ar��Gara^ge Area Storage
tri
PHONE
Val4ion
ir
ADDRESS
ZIP
Main Floor
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
tint In. Basement
7.
TYPE
OF
WORK
0/ NEW 0 ALT.
LJ BLD.
0 PLMB
IJ AD'N.
❑ MECH
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not ReA'd.
DESCRIBE WORK
$- ApDITto/u to G4ePORT t ENCLffs
so VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
EictST/ WC, taJ�5uu3
Location (Area)
WATER
SEWER
SG—YT IC
Ownership _/
Public 0 Private I)G
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( K/t
SPECIAL APPROVALS
NAME DATE
Env. Health
MPT aedn.
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
haUCI t • //
Bui Idi ngTechnician
,57,,, wig
SIGNATURE OF APPLICANT iJ71li 4 et: ,1/1e
SPECIAL CONDITIONS:
4PPf e,oac Pcbc —J.r.,s'LG4CYibO
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 444,-•0
Plumbing
Mech. -
Plan Check
SEPA
Mobile Home
Other (Specify) ,
TOTAL $44.6";
PERMIT NUMBER,
Ski0-186
0.2
A
4400
i* 44.00 17)
�*44.00�
*GOO 8
784
1:o-19-8.1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t. h ry i 4 1 It 1 :p 1
.10;, �1'9,J,Si•1; 78.62 �440C°
DATE ISSUED PERMIT NO. TOTAL
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