1983, 05-11 Permit: 83A-3904 Siding, Soffit, FasciaPLAN 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 ADDRESS1.
LOT 18/1(1 Sti i g.I N rime)
2. 7 / I% Y fi/G�5
OWNER
s I Dct,U Q a Inn u
A DyIRL q, , friTA 1011
CONTRACTOR
i I c JGu
4'
ADDRESS
3 06, Arra els acC
DESIGNER
5.
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
92.J—gy067
211n1 P/] �1 ^ /
_19 oz -V10
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East
'West
PHONE
948 -4k2%o
Size of Parcel
Zone Classification
ZIP ( 9�6
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
PHONE
Valuation
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
'Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW 0 ALT.' 0 AD N. 0 RPL.
❑ BLD. 0 PLMB. 0 MECH. 0 M.H.
O MVE.
O POOL
DESCRIBE WORK
8.
So •
-sAtoriT
VALUATION SOURCE J 'GAS
9. J/C.
.JO UTILITIES
OF
ELECTRIC
tl;;;HER
j�' J�Q.�/t..
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. DIst.
Location (Area)
WATER
SEWER
Ownership
Public D Private 0
USE CODE
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 SIDEFOR REQUIRED INSPECTIONS
'DATE OF APPLICATIONTh.__ SIGNATURE OF APPLICANT
SPECIAL APPROVALS , SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Eng i nee
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
OD
sow
TOTAL
PERMIT NUMBER
P7SA - 3904--
021* *6800 -
*6800,5
A *Q00 0
390,3�
,05-11-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
• 3.90.41 ' *68.00,a.e. _
PERMIT NO. TOTAL
r
O
0
LLI
J
La-