1981, 09-17 Permit: 81A-9476 PorchPLAN 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. I bl-a- N, `ice LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDI I ION PARCEL NUMBER/S
2. � �, K a" A001-11 cTj I W -r lad 13V. (a
OWNER
3. EIZ4.
ADDRESS
CONTRACTOR
4. �/Kc
ADDRESS
Si�vN�
DESIGNER
5. ADDRESS
TYPE ,.,� J ,,..�/
PHONE
NW L,e ofz A '
No. Rooms
c tZt
T NEW ElALT. IJ AD'N. ❑ RPL. ❑ MVE.
V!)53t - 6(vt
ZIP
Actual Set Backs in Feet
CERTIFICATE
L -k
qQ-.ex.
North 3 o iSouth East West
PHONE
Size of Parcel
—70
Zo a Classification
I -K X
KLF Sd �
Enum. Dist.
ZIP
Type Const.
Occupancy
Sprinklered
GAS
ELECTRIC
AT4-S
VWEROwnership
❑Yes ❑No ❑ Req'd.
USE CODE
PHONE
Val atio-nnBuilding
Area in Sq. Ft.
(c i, 8.W-' I
Nfl-�L—
Public ❑Private
ZIP
Main Floor
Upper Floors
Garage Area
Storage
FROM TO
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Area of Decks
Finished Basement Unfin
Basement
TYPE ,.,� J ,,..�/
No. Baths
No. Stories
No. Rooms
No. of Dwellings
T NEW ElALT. IJ AD'N. ❑ RPL. ❑ MVE.
k
7, OF ElOTHER
CERTIFICATE
Req'd.
Recd.
Not R,eq'd.
WORK BLD. 1-1PLMB. ❑ MECH. ❑ M.H. ❑POOL
of EXEMPTION 1
VJ
DESCRIBE WORK
8.'?0zck Avi> rtc,.j C
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
NUATER
VWEROwnership
USE CODE
OF
UTILITIES
I
t���.0
I
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 -06
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
rformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
j/p /.�/�/� /((///� )///�
/nATC !1C ADDI I!`A-r1nAI ! , / � / CIrKIATI10C nC ADDI InA�IT�1 / IV/�Y\ I/ L 1lY - J/4la-
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
lealth_
7nnmg
Fire Marshall
Co. Engineer
Utilities
s Ex i er
S5P4
Check Ist
Ndi Technici
C.
PERMIT IS NONTRANSFERABLE
Plan Check
PERMIY' Ni,iME •'R
02* *14,00
�1 4 i) 7 ;n
939.5'
6-81
ry
6479,
SEPA I n
C
Mobile Home I ILL
u
Other (Specify)
TOTAL $ 14. cc
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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