1981, 07-30 Permit: 81A-7628 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
505 5. mcNvna(d
LOT
2.
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
SUBDIVISION
owry
3 Ma 'less
ADDg,EO5 S f IcNnai f
CONTRACTOR
McLV(1-hMS
4' ADORE53Ib� Ono_ eMd
DESIGNERSI
5.
P ONE
PARCEL NUMBER/S
22541-6 3e0
PHONE
q g-4686
Actual Set Backs in Feet I
North 'South East 'West
Size of Parcel 1 Zone Classification
A96
Type Const.
Occupancy
Sprinklered
❑Yes DNo 0 Req'd.
PHONE
Valuation (Building Area in 5q- 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
7. OF
WORK
8.
9.
0 NEW 0 ALT. 0 AD N. 0 RPL. '0 MVE.
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
1741
VALUATION
4gglroo
SduhCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
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
DATE OF APPLICATION 7/�gl A i SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building echnlc
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERAB
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not Req'd.
FEES COLLECTED
Engle - $ S(J•CPC)
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL- $ Lo.co
PERMIT NUNT .ER
51
02* ,*5000
*5000 L
*50006
*000' ES
T6272
"07-,30-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
{ li
DATE ISSUED
I..
716i2szSQO,Oa1-
PERMIT NO. - TOTAL