HomeMy WebLinkAbout1981, 02-05 Permit: 81A-1214 CarportPLAN 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. 6 . I ! 4 --tea 13
LOT BLOCK SUBDIVISION
3.OW- F L 44Jv1 I P ONE
20
_7
f'
ADDgESS1 14!,5
131..�4.6Ye3
CONT7gce_
4.
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCELNUMBER/S 4- - 1 7 <4'
Actual Set Backs in Feet
North 'South
Size of Parcel
ADDRESS
DESIGNER
5. ADDRESS
6.
ZIP
Ty
PHONE
CHANGE OF USE FROM
ZIP
DC7 > 14
pe (const. Occupancy
V/Jf MI
Valuation
i' 5 -2--
Main loor
TO
Area of Decks
East 'West !4
Zone CI ssification
lir
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Upper Floors Garage Area
f�-U`
Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
8.
9.
❑ NEW ❑ ALT. 12 AD'N. ❑ RPL. ❑ MVE.
'BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
+I
VA�ual I ON )p'Ap° ri°
ELECTRIC
SOURCE
OF
UTILITIES
GAS
ATE
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public D Private I!d
USE CODE
Req'd.
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 INSPECTION
�� AA �f i
DATE OF APPLICATION tO.% `ij S5 / SIGNATURE OF APPLICANT �// 4.‘
41
SPECIAL APPROVALS
NAME DATE
Env. Health
). ClcLNt,.e?
Planning
Fire Marshall
Co. Engineer
Utilities
fans a1 er
SEBA C'ecklist
-
an
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
1
Rec'd.
Not eq'd.
FEES COLLECTED
Single $
.oz c9 -
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 2,,e3 -
(PERMIT NUMBER
IA.` 1t 1
02* *2000
*20,00
*20.006
A *0,00
121.3B
02'-05-81
g 6479,
+VHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02'405-8'1
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1214'g *.20.0.0.1--
1
1.1