1981, 08-12 Permit: 81A-8057 PatioPLAN 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. E. iii'Z7. VAxg-Vi LEGAL DESCRIPTION —SEE ATTACHED
L. 4 �Jr V r
OWNER PHONE V—'` �'_���✓
3.
ADDRESS ZIP Actual Set Backs in Feet's
CXt 7+�vc1
%Q— i.►i! North South lEast West
CONTRACTOR PHONE Size of Parcel Zone Classification
80g A •
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
!S�- M0 F 9_-�-� ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE I ation Building Area in Sq. Ft.
ni 7— 067
5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROMTO Area of Decks Finished Basement Unfin- Basement
6. i :iC-20;0
-,
No. Baths No. Stories No. Rooms lNo. of Dwelling
TYPE 524NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF_/ ElOTHER N
WORK l0 BLD. 1:1PLMB. ElMECH. ❑ M. H. 1:1POOL CERTIFICATE Req'd. I Recd. ot Re d
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
�j Z UTILrz OITIES Public ❑ Private Single $
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 Building A 0 ba
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 INSPECTIONS Plumbing
DATE OF APPLICATIOPd -/J 'L O 1 SIc.NATtJRF OF APPI Ir.ANT—)QA-&-� Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
IJc�� R
Planning
Fire Marshall
Co. Enaineer
Utilities
am
SPECIAL CONDITIONS:
nicciian PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
'
a)4_
4 _ w
02* *1000
*1000
805,6-
08-1281
6.479,
SEPA I c
C
C
Mobile Home L
L
Other (Specify
TOTAL $li, 0 - e0Q
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
L0 8 8 0'5.7 Z
DATE ISSUED PERMIT Kin
*14001-
TnTA I