1982, 04-20 Permit: 82A-2978 Siding, Soffit, FasciaPLAN 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 pp __
o
1. /U I 126.41 01;0£
O GLt -4 & &GI-•
:LEGAL DESCRIPTION - SEE ATTACHED
2.
LOT
11-
BLOCK
3.
OWN
SUBDIVISION -I
11/441.4410K1 hoof 1014
ADDRESS
).)-13/1 05ot1,L4- Road.
PHONE
92-3636
ZI`1(1.).
PJ (j ) o
PARCEL NUMBER/5
Actual Set Backs In Feet
North (South
1 1154-2 — p3I y
East
(West
CONTRACTOR
4. h') P Vain 1.3tio htt'A ent*"a C fel-o
ADDRESS
Y( , 3l06 aCQ n/ L Eoaob
DESIGNER
PHONE
9,2c
Size of Parcel
Zone Classification
z49.zo (o
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
PHONE
Valuation 1Building 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
Unfin. Basement
TYPE 0 NEW
7, OF -
WORK 0 BLD.
0 ALT.
0 PLMB.
O AD N.
❑ MECH
❑ RPL.
0 M.H.
❑ MVE.
0 POOL
DE.SCRIBE WORK
8. .t1 ,0 Sect
VALUATION
9.3'(&c7.
SOURCE
OF
UTILITIES
GAS iI
d.f-�4'CCGt�
0TH ER
fele
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
e
DATE OF APPLICATION 1/10//g. 2 ' SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui Tec
PERMIT IS NONTRANSFERAB
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $54 • 00"
Building
Plumbing -
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
540
TOTAL
PERMIT NUMBER
e2 -A - z71&
1'
0'2* *5400
*5400
*54006
A *0.00 2
297.72
• 04-20-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
210,18;,2'
DATE ISSUED
2;9t8;z,.
PERMIT NO.
540041
TOTAL