1981, 07-14 Permit: 81A-6954 CarportNUMBEP,
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB AEIDRE
MM
f� Com% LEGAL DESCRIPTION — SEE ATTACHED
1. CLOT BLOCKSUBDIVISION 5� PARCEL NUMBER/S
2. ; 2- M vj 7
OWN R
3. wn!s_ M- 0, =)e9+� 4
I
4' ADDRESS
ZIP
02 %
Actual S Backs in Feet
t North South
PHONE
Siz ) el 100
ADDRESS
---P
ZIP
T p,onst.
OcXiancy
:ast * IWest
Zone Class4ati
op pe
W! !4 FFLL'' oq
V Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5'
;7_12
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Stora,
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Baserr
No. Baths
No. Stories No. Rooms
No. of Dw
TYPE ,�,//
R/N/1,y,EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Nom
'=' BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
DESCRjBF WORK
Enum Dist Location (Area)
8 .� ( 12 + X� i1 FEES COLLECTED
VALUATION SOURCE GAS ELEC RIC WATER SEWER
OF ii / - Ownership SE Cjed
9. UTILITIES Yr✓ Public El Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions incl
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governingBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not pres
to give authority to violate or cancel the provisions of any other state or local law regulating construction o
performance of construction. SEE REVERSESIDE FOR REQUIRED INSPECTION6l, Plumbing
DATE OF APPLICATION 0 ` d SIGNATURE OF APPLICA Mech.
SPECIAL APPRfWALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
It AUK
SEPA C ecuist
g Te Ic n �
No
PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other(Specify)
TOTAL $ 157b
PERMIT NUI.. -.BER
G
02*
J
*3�00Y
6863
v 7— 0 9— R 1
6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
A6 8' ��z 6 9 �5. 4'z * 3 8.0 0 -�J-
-
q e�'-f;�JONJ
70