1983, 04-06 Permit: 83A-2633 Siding, Soffit, FasciaPLAN NUMBER
APPLInATION/PERMIT
SPOKANE COUNTY trUiLDING CODES DEPARTMENT
GNORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES
1.
2.
JOB ADDRESS
L•
ON
E . ICne S BD IS tLL
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3 Earl Cpmh
S
CO
F.NT1RACTOR
Iogob maturt
IY1cUrut 6nkers Co-n,4raCft S,imc.
ADDRESS ,s
nnn Raod
4.
5.
PHONE
9d$- 5Soo
Z
9IP
9.a0�
PARCEL NUMBER'S
Actual Set Backs in Feet
North !South
East
'West
DESIGNER
PHONE
9a.8— 4696
Size of Parcel
Zone Classification
ZIP
99-0
PHONE
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes Digo 0 Req'd.
Building Areal!) Sq. Ft. .
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7, OF
WORK
O NEW
❑ BLD.
❑ ALT.
❑ PLMB.
O AD N.
❑ MECH
❑ RPL.
❑ M.H.
O MVE.
o POOL
JTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Redid.
DESCRIBE WORK
8. S+JJ) Si .So 0
y -4 CL -1
GAS ELECTRIC WATER
VALUATION
97313`
SOURCE
OF
UTILITIES
Enum. Dist. I Location (Area)
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. Thar -granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
I$p ItliOg e nicl�
SPECIAL CONDITIONS:
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
PERMIT NUMBER
e A--�
02* *5400
*54006
A *0.00 8
2632
04-06-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0`:4,70'6- 80.
DATE ISSUED
A ,
216'3,.3.; Z
*5:k001a_
PERMIT NO. TOTAL