1981, 11-09 Permit: 81B-1612 Deck CoverPLAN 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
1.1021 r7 6 I4oc.MAN
LOT BLOCK SUBDIVISION
2. �9
LEGAL DESCRIPTION — SEE ATTACHED
T_Lizt Ai*.
OWNER
3.
Thomas WeLPI GIS
PHONE
MA/12M S.
PARCEL NUMBER/5
0
5
119`-0n Or^
ADDRESS
10211 6 #OL -MA tJ
CONTRACTOR '
SAm;
ZIP
Actual Set
VB_arckks^inn Feet
North 2—/wi'3'Lytgv/v(fl
West
PHONE
Size of Parcel
°f 11000
Zone Classification
SUPj
ADDRESS
ZIP •
Type Const.
vN
Occupancy
Sprinklered
Oyes ONo 0 Redid.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
2_149
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF }JSE FROM
6.
TO .
Area of Decks
29"7 4,
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
0 BLD.
O ALT. I AD N. - 0 RPL. 0 MVE.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Rpq'd.
DESCRIBE WORK
8. ADA COQ To $r/KIST. DECO
VALUATION
97180
SOURCE GAS
OF
UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
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.tSEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION /) q 7 / SIGNATURE OF APPLICANr/.-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
Bu
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
1
FEES COLLECTED
Single $
Building. F7-
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $
r IT NUV*BER
P
gig \CQtZ
02* *17.00
*17.00
*17.006
A *Q00
1 6 1»1
11-09-8.1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. .
iI=,a'9= 8'11
DATES UED
116.12= *17.001ag:-
PERMIT NO. TOTAL
0
0
—J
I