1980, 12-22 Permit: 80B-5154 Porch AdditionPLAN NUMBER
• / °la OM
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
�`• --7Z1)3N
7Z3 Beo6
LOT BLO K SUBDIVISION
OWNER
WilaN —6040.619(...6 y
ADDRESS
E . re -L03 aoo, c C-I'zEesaAcn.S
CONTRACTOR
�AmE
ADDRESS
Satwtc
DESIGNER
6' ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
9z8-\eet
PARCEL NUMBER/S aa#f:a.i5 clegcr. wca. s WAs oV
Bi0,Be6Mo. PC• aoo•N of 5[ cote 1-i4 'TM WAXY To
4 pr- qy N. o F 5v1 cog a.l° YH S Yu SvJ Cart
Tei.15 TO O€ cam 'TH. N. TU I&Gt. 6%C, jl.rj•
fASS,2-totem
ZIP
CICIOLC
Actual Set Backs In Feet
North LSD ISOuth
East
1West t0'
PHONE
Size of Parcel Zone Classification
AGR NC.u.L"iu ch(- .
ZIP
RR Zoog 327
Type Const. II - Occupancy
Sprinklered
Yes ONo 0 Req'd.
PHONE
Vak.ff tion Building Area in Sq. Ft.
If ILV 2.8 C.,
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
a$o 'CoU:;R6O
Finished Basement
•
Unfit'. Basement
TYPE
7. OF
WORK
NJ/ NEW 0 ALT.
D7 BLD. 0 PLMB.
Y AD N.
0 MECH.
❑ RPL.
❑ M.H.
0 MVE.
'CI POOL
0 OTHER
No. Baths
No. Stories
t
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
a AOort- o OF
OF
Enum. Dist.
r�-642cN "ro s OEJvc_e-
Location (Area)
VALUATION SOURCE
Pis 120 UTILITIES
GAS
ELECTRIC I WATER
SEWER
JEPT7 C
Ownership 12,1 USE CODE
Public 0 Private
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 . gulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE
DATE OF APPLICATION` ^22 -re SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Nc r E
Planning
•
•
Fire Marshall
Co. Enginee
Utilitie
Plans Examiner
SEPA Checklist
Id • Technician
SPECIAL CONDITIONS:
Not Rec'O hozwriona A.1mcs-r
ore s. rr /NSPhrencN
.TC Ara e
COM'Acerc SC.a4ECT Yo
STPR_TEO �r 2Lcati. To OSrA1 roc NCk
Rept-pat- a ctsrtr x, ?or c.W
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specifyl?O.00
I Nt.Y',3T,
TOTAL $.40•0a
JP-
PEpeklIT NUMBER' • '
fee - 515.4
02 *2000
*2000
*2000
A *000
5152
1.2=22-80
6479.
021* •*200.0
*2000
*20006
A *000 2
5153
1.2=22-80
1 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• 12 2r2i''b0I
DATE ISSUED PERMIT NO. TOTAL
5115.,41 f 4400aie
J
W
{3coN E