1980, 09-02 Permit: 80-9401 Siding, FasciaPLAN NUMBER
1/2-7o
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
/A010 6 6rai ce ,
LEGAL DESCRIPTION - SEE ATTACHED
PERMIT NUMBER
02* *44.00
LOT
2.
BLOCK
SUBDIVISION
3
4.
5.
OW ER
henna Ti Tede,
PHONE
21a6-floo
PARCEL NUMBER/S
ADDRESS
/aoio a Crate,, Sr�oka2¢�
CONTRACTOR L
AMc Va . B J Cin�ra cions
RSS
N, 3/6h Argon/1.a goad
DESIGNER
ZIP
Actual Set Backs In Feet
North (South East . (West
PHONE
94-4616
PHONE
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Ves ❑No 0 Req'd.
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
Unf in. Basement
TYPE
7. OF
WORK
❑ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
DES
8.
VALUATION
9.13.•/506
IBE WORK
t .
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
OTHER
Apavu
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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.jSEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 51/N1 go SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshal
Co. Enginee
Utilitie
Plans Examine
SEPA Checkl
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF SUANCE
FEES COLLECTED
Single $ 44"")
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 41.1 0
*44006
A *GOO
940.02
09=02-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
94''0,1z •4'400a1-1 —
PERMIT NO. TOTAL