1981, 03-02 Permit: 81A-1933 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 pA
1 CLOT Od 7 .0_,e4,tet;
2. ,3
BLOCK
/
SUBDI SIGN
LEGAL DESCRIPTION — SEE ATTACHED
RACTS
OWNER��1
3, d -•CU -Pi/ 9' 13,44 -LLL& .7f 1Th4f
ADDRESS ' A n
r, 13//07 A}P.dA,"rP�t ,9pdr-kaAtt
CONTRACTOR
4. aP4 420
A DRESS
.'/
DESIGNER
5. ADDRESS
PHONE
924, -.3929
PARCEL NUMBER/S/SSA/4Z -21/A3
ZIP
qq..2/6
Actual Set Backs in Feet , //
A
North) 7 -Z.'ISoutha3 10 (East 5 (West
PHONE
Size of Parcel / Zone Classification 44/(4-
ZIP
4
ZIP
Type Const.
IAN
Occupancy
R-3 M-1
Sprinklered
Oyes UNo U Req'd.
PHONE
ZIP
Valuation
Main Floo
O I BUIlding Area In Sq. Ft.
'120/GIS-
Upper Floors Garage A ea ,
Cita Az •
CHANGE OF USE FROM
6.
TO
Area of Decks
FlnlshedBasBement
Storage
tint In. Basement
TYPE
7. OF
WORK
• NEW
O BLD.
U ALT.
❑ PLMB.
IF3 AD N.
0 MECH.
U RPL.
O M.H.
0 MVE.
0 OTHER
0 POOL
No. Baths
No. Stories
7
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
}}
DESCRIBE WORK OPF-4J 3siva
8714412
VAL TION SO RCE AS ELECTRIC WATER SEWER
OF
§. UTILITIES
Enum. Dist.
Location (Area)
Ownership
Public D Private
USE CODE
1 hereby certify that I have read apd 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 oonstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 3 I SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Te hnic
/✓. // 4 -.
SPECIAL CONDITIONS: .
PERM/r ,.ES — C/ZsDer TU APPA3 FRAM
P•E,CAs/r't Safi— 76.3
-7105
PERM/rt Foe— rORafro ,gor✓N Cis, R,EAATH DEPT" -
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single y/y$
Building % ZO%✓
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify/
TOTAL $ ?SL.
rPERMIT NC/AMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'I3j:'a 2,Ie,I1
1;933 , • *29.0;0a;�
DATE ISSUED PERMIT NO. TOTAL