1984, 02-21 Permit: 84A-1403 Patio CoverPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. ;\i
�-�.� 0-- JMfr
2. LOT BLOCK SUBDi(SION
PARCEL NO. 1,7251..— 1 I 7.-9
OWNERIN!
3. OV c� vAI✓I 1_222.6
fly ms 1��M
N =I
CONTRACTD LICENSE EXPIRES PHONE
PHONE
4.
ADDRESS
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
ZIP
PHONE
ZIP
TO
TYPE ❑ NEW ❑ ALT. E/ AD' N. ❑ RPL. ❑ MVE.
7. OF WORK fJ BLD. ❑ PLMB. CIMECH. ❑ M.H. 10 POOL
❑ OTHER
8.
DESCRIBE),,vc K iA_ 0
LEGAL DESCRIPTION:
Actual Set Backs in Feet to: 1744f01
North 'South LEast
Size f Parcel
4' X 2 -Ca
Type it Ocffancy
New Const. Valuate
Main Floor
West
Zone Classifi tion
Residential
Commercial 0
Spr'nklered
OYes ❑No ❑Req'd.
Remodeled Valuation
Upper Floors
( `
No. Batti
Certifi. of Exempt.
or Variance
Uncv. Deck
Total Bldg. Floor Area
Garage/Storage
No. Floors
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑ No0
Received Yes ❑ Noll
Shorelines/Flood Hazard
Vest: Not Applic. ❑
VALUATION
9.
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC tni
PRIVATE 0
SEWAGE .7
SEPTIC Er
SEWER 0
Ownership
Public 0 Private .1;1/
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 au-
thority 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
SIGNATURE OF _ �, / APPLICATION
OWNER OR AGENT �/ DATE � :21 - r'f-
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health.
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
2.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
U4"l-'
2x *20,00
*20.006
*0.00 8
14Q22
02-21-84
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ItSl Et7 2 1 8
�r
PERMIT 13.4 0. 3 z *'2 0. 0 OrgTjO
5-7<-19111\1
Noi3i 1
074 -M -It\
01,24'