1982, 07-06 Permit: 82A-5705 PorchAPPLICATION/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 , I
OT
BLOCK
S JBDIVISIION
I
3.
ADDRESS
CONTRAS RR
ADDRESS
DESIGNER
HONE
b—GI& I
`IP
40'3'7
ZIP
70
ONE
0
7
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5 255`}- Q31 /
Actual Set Backs in Fee
North
South IEas
Size of Pa cel
I�k
Type, Cons
Oc
ilesincy
es
Zone Clific on
Valuation
Sprinkiered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
5' ADDRESS
ZIP
in Floo
Upper Floors I Garage Area
Storage
6.
CHANGE OF USE FROM
TO
Are
f ec
Finished Basemen
Unfin. Basemen
TYPE
7. OF
WORK
0iplEW 0 ALT.
BLD. ❑ PLMB.
IT1 ADN.
0 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No.tBath
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Re d.
Recd.
eq'd.
9.
DESCRIBE WO K
VALVPA ION SOURCE GAS
OF
UTILITIES
I k
ATER
CTRIC
Enum. Dist.
Ownership
Public 0 Private
Location (Area)
USE CODE
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or
SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICANT
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of ccrtstruction.
1 1� /
DATE OF APPLICA NON
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilitie
Plans Examiner
SEPA Checkl
SPECIAL CONDITIONS:
e
-2e*2- -1%/)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERM, 1 rvvw,t ER
5 20 5
02*
57008
07-06'82
6479
*20.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
017! 116 7;8'2
DATE ISSUED
5'7O.55 *'2O.00 —
PERMIT NO. TOTAL
141