1981, 08-06 Permit: 81A-7860 CarportPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SI-OKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOBB ADDRESS
xT LEGAL DESCRIPTION - SEE ATTACHED
LOTBLO K SU DI I I N PARCEL NUMBER/S
2. ! _7 P,0. M01051.�, sr o - 051 r
OWNER
3. %VI -1--
ADDRESS
CONTR C OR
C i
4. ADDRESS
N
G I�il%I op,� nz-
PHONE
ZIP
Actual Set E
''7
U� /
North
PHONE
Size of Parcel
Main Floor
Floors
ZIP
T7Cons
CHANGE OF USE FROM
PHONE
Valuaatt
in Feet
outhl— East West
Zone Classification }�j�
1���j
- Ivl ( - C!
OtnTaaea
prinklered
411
No EJ R
eq'd.
in Sq. Ft.
5.
`_Upper
ADDRESS
ZIP
Main Floor
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Bas ment
Unfin. Baseme
I
No. Baths
No. Stories
No. Rooms
No. of Dwel
TYPE NEW ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
I
I
7
2"B L D. ❑ PLMB.
❑ MECH. ❑ M. H.
❑POOL OTHER
CERTIFICATE
Req'd.
Recd.
WORK
EXEMPTION
I
JNZ:!R�of
DESCRIBE YJORK
Enum. Dist.
Location (Area)
FEES COLLECTED
s. G carI I , �) 3
VALUATI SOURCE GAS ELECTRIC WATER SEWER Ownership OF USE CODE
9. UTILITIES �C, Public ❑Private Single $
1 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 Building
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 Plumbing
G
DATE OF APPLICATIONS GCj:z -� tS / SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
ry Health
inning
re Marshall
Co. Engineer
Utilities
4ala,n_s Exami r
Bui ng Tecan PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
i
Mobile Home
Other (Specify)
TOTAL $'
gs
PERMIT N''�MBF_ii
02* *28,00
*2''c00
*2800
A. *0.00
779,8
08-05-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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