1981, 03-20 Permit: 81A-2618 CarportPLAN NUMBER
13
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
1.
2.
3.
4.
JOBgDREi5 9
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
4
SUBDIVISION
I�l14/g6-Cr A AVO t1-1
OWN5R
Lo'r L
ADD• RESS 12,-2-1-
2 2-1- ` J-� I (�tj ' V JA,
COG�
OIV'AL' c T{Qc[n�sikjc,
15311E -
HO E
22 - 5og8
PARCEL NUMBER/S
,--1542 -30a,
ONE
Actual Set Backs In FeettQQ..,,
North 'South 3(/ [East
1West
3
Size of P co 2-
j0
Zone Class ation
riKtA
A 71E4- CO ,nLJ:A L i7eTh•
1,0[6
Ty elConst.
h
Occupancy
hl
Sprinklered
Elves DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation 6 O
Building Area in Sq. Ft.
0.40
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
NEW 0 ALT. �AD N.
VBLD. 0 PLMB. 0 MECH.
O RPL.
❑ M.H.
❑ MVE.
D POOL
0 OTHER
No. Baths
No. Stories
No. Roorns
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
YJot RGq'd.
DESCRIBE WORK' O0�� \
8 Gpc}I /I
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
ELEC IC
WATER
Enum. Dist.
Location (Area)
SEWER
91'-x'[!/
Ownership
Public 0 Private
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICAN
etets
SPECIAL APPROVALS
NAME DATE
Env. Health
@r nnng,7
8/70
Fire Marshall
Co. Enol eEr
NOF
R�.,In-
Utilities
Exa511114t
SEP ^ Checklist
�Itl ing�
lan
SPECIAL CONDITIONS)
CST, 1,1C • (co -1,0 -i - 2 3PNI 3/T'3 /D2-)
MPI To
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 17,
Plumbing
Mech.
Plan Check
SEPA ,
Mobile Home
Other (Specify)
TOTAL . $ 17'
PEh . i risylBEfi
87A -26 /$
02'k * 1 7.0.0
* 1 7.00 175
* 17,006
*QO0 S
2;61.72
03'-20 -8,1
2 6479,
w•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'51;12 uitorti
DATE ISSUED PERMIT NO. TOTAL
261'8'5. *17.0;0 RP' -
a
U
W
J
LL