1982, 07-30 Permit: 82A-6600 Siding, Fascia, Porch 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 3 COPIES
JOB ADDRESS t
• OT.,, cud1S
LOT BLOC SUBDIVI ION
LEGAL DESCRIPTION - SEE ATTACHED
O NER
3 .i 1( had i j< rZ L/ k
ADDRESS I\
od
CONTRACTOR �/��
s
4. 2ir<34-' ADDRESS
3CYC, arc}n lacy
DESIGNER
fri
5. ADDRESS
PHONE
rami — 1qq
ZIP
PHONE
PARCEL NUMBER/S
(05y?-03oci
Actual Set Backs in Feet
North 'South East (West
claq -46
Size of Parcel
CHANGE OF USE FROM
6.
TYPE
7• OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
ZIP
PHONE
ZIP
TO
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
Type Const. Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floor
Building Area in Sq. Ft.
Garage Area
No. Baths No. Stories
DESCRIBE WORK
8. x l'12C- FO _c_./4Cz,
VALUATIO SOURCE GA
OF
9. `T rJ �� UTILITIES
ELECTRIC
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist. I
No. Rooms
Req'd.
Location (Area)
Ownership
Public ❑ Private ❑
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
S":CIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
IPlans Examiner
SEPA Checklist
Bu •'ng Te.
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABI
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
/
F. : T W W O L
02* *34,00
*34.008
A *000 8
659.92
07-30-82
2 6479,
•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
82
660..0 z,`, ,3,400 —
PERMIT NO. TOTAL