1983, 03-25 Permit: 83A-2237 CarportPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY—eiarDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 .
+iy
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3.COPIES
JOB ADDRESS
LOT
C • t$71g tAAeL..tv.�
BLOCK
SUBDIVISION�p
IpAct k.Gtt_ "Pogo MoatLE . f�•'wsG
OWNER
t0Ny -OA LO •
ADDRESS
N. 6110 ,vNNcN
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
ZIP
aq�tiV
Actual Set Backs in Feet
Coo
t
North &O (South
East
df 1
�TL7 West
CONTRACTOR
a. A-FotAca,
ADDRESS
1�22t ? FAen
Cr)
PHONE
a�-mss
Size ofpParcel
t S.EC.L.41-tArt-
Zone Classification
MeV%N
ZIP
aav‘c..
Type Const.
Occupancy
M—j
Sprinklered
Dyes DNo 0 Rebid.
5.
DESIGNER
ADDRESS
PHONE
Va4t tion
244‘o
Building Area In Sq. Ft.
G2 -4 -
ZIP
Main -Floor
Upper Floors
Garage Area
(CZ¢
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
Ltf E W
87 BLD.
O ALT.
O PLMB.
VAD N.
0 MECH.
O RPL.
O M.H.
•0 MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION •
Req•d.
Recd.
Not }eq'd.
DESCRIBE WORK
8. grTa--c
(i S>c w)
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
O
UTI LLITIES
GAS
ELECTRIC
WATER
SEWER
Ownership eel USE CODE
Public 0 Private
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
x
• Planning
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Fire Marshall
Co. Engines
Utilities
Plans Examiner
SEPA Checklist
ding Te nician
s! C411111,
i
SPECIAL CONDITIONS:
tf d -v— L OJ de- eked STs r)Ct Si.AIES
et.tQ( Sc --t Ta 0 S. tty` LI" S�LLCo(wi
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4 47.aa
TOTAL
$ `4'%ef7O
PERMIT NUMBER
S3 R - zz-37
£-54 *47.00
*47.008
A *000
'22362
03.-25-83
g 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0(1�ir, 1215•x- Br,3i
DATE ISSUED
2213'71 *.47.0:0°i
PERMIT NO. TOTAL
0 -
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