1981, 08-19 Permit: 81A-8277 DeckPLAN 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 • E. 132.03 N
BLOCK SUBDIV
VER -R - fl'lt=oo-,N .m Ta4ccs i210 Ec-
5,'T
2. 4
LEGAL DESCRIPTION - SEE ATTACHED
3
4.
5.
OWNER
ADDRESS
t t3'z S VV1ru
CONTRACTOR
SawtC
ADDRESS
SHWtW
DESIGNER
CL3 Q.
PHONE
i
ZIP
44zL�
PARCEL ILUMBEk/S
tel -D n ng
Actual Set Backs in Feet
North 'South
East
West
PHONE
Size of Parcel
SS
x %A
Zone Classification
G . S:a re .
ZIP
Type Const.
Occupancy
a-3
$prinklered
Dyes DNo 0 Req'd.
PHONE
Va ation
(040
Building Area in Sq. Ft.
32.0
ADDRESS
ZIP
Main Floor 1 Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Sad
Finished Basement
Unfln. Basement
TYPE
7. OF
WORK
CJ NEW 0 ALT.
(BLD. 0 PLMB.
0 AD N. 0 RPL. D MVE.
0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of
Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
7
DESCRIBE WORK
8. —3,=rAcy n 'beck_
.14 VALUATION' SOURCE
!!�� OF
9. s.+"Cs-x UTILITIES
`ca t-cs;ae..cd)
GAS I ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership m/
Public 0 Private e
USE CODE
I hereby certify that 1 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
/n/ 0 ,, ����%
DATE OF APPLICATION r g"--19-et SIGNATURE OF APPLICANTIC/V�4M .ei i .01,1 e
SPECIAL APPROVALS
NAME DATE
Env. Health
VI VT Rea o.
Planning
Fire Marshall
Co. Engineer
Utilities
•
Plans Examiner
Ch listlst
Building Technician
SPECIAL CONDITIONS:
1N Ak: gIPAat>,:so LcY.WT,orJ
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
. Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ t3.O0
PERMIT NUMBER
Si A- b'2T7
02* *1300
*1300 h
827.62
0.8=19-81
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I
"Olie41.191 i8
'Il!
DATE ISSUED
8'2 73: z
PERMIT NO.
'it 11.0
TOTAL
a
0
0