1982, 09-09 Permit: 82A-8002 Carport renewal 81A-6954PLAN 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
1. IE . ICk0Z S- N`0^-3 %G-,0nn.Ce--1 LEGAL DESCRIPTION — SEE ATTACHED
LOT
2. -Z-Z1--a—LOCI
a
OWNER
3. " Iffo
ADDRESS
C . \Gt
CONTRACTOR
1544y-ke
4. ADDRESS
Y11E
DESIGNER
SUBDIVISION yyy y�� 1 PARCEL NUMBER/S
PHONE
ADDRESSZIP
ZIP
Actual Set Backs
in Feet
North -4-0
South
East S lWest
PHONE
Size of Parcel
Area of Decks
Zone Classification
Unfin. Basement
`7 or L(
Z —>• (A- rsb
ZIP
Type Const.
occupancy
Sprinklered
TYPE ❑ NEW ❑ ALT. 11AD'N. 13 RPL. ElMVE.
/'
.—]{ l.i
M_I
❑Yes ❑No ❑ Req'd.
PHONE
Va ationBuilding
Area in Sq. Ft.
3
A::;-71--
5.
ADDRESSZIP
Main Floor Upper Floors
GarraageArea
Storage
a7•76
�.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
/No.
TYPE ❑ NEW ❑ ALT. 11AD'N. 13 RPL. ElMVE.
No. Baths
No. Stories
^'^
No. Rooms
of Dvyelling
.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
V
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 ..
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
OF
I UTILITIES
�FT<--
Public ❑Private
ingle $
I hereby certify that I have read and examined this application and have readZ
ped
on reverse side, and know the same to be true and correct. All provisions oanhis
.0�
Buildingtype
of work will be complied with whether specified herein or not. The grait eto
ash
give authority to violate or cancel the provisions of any other state or loccheperformance
of construction SEE REVERSE SID+7E FOR REQUIRED INSPECdumbing
��IGNATURE
h.
DATE OF APPLICAT OF APPI
SPECIAL APPROV
NAME
Env. Health
We>—, laccy' C
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
L
I SPECIAL CONDITIONS: Qc��
TE
Plan Check
SEPA
Mobile Home
'�Er. Q� t ►'�-CvC'1��, �a r� � tom- r�t2_o'J f4 � �
Other (Specify)
PERMIT NUMBER
SZ A -
TOTAL $ -�I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 !-,0,9 - 8 2 8 0 a 2 z * 2 1 Q 0 a M
Cl r/ - c 1`1_.,, _ . -