1982, 02-08 Permit: 82A-874 CarportPLAN 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
ti 717 N1 oc rlc,
LOT BLOCK SUBDIVISION , I
rizi
1G0,�"1,
CONTI, M c7a� l-.0 .
ADDRESS
a-clAc0
OWNER
ADD
ESS
PHONE_ 17 72 -
037
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
Size of Parcel
Zone Cl,i�cat/ion
rti
ZIP
Typp const.
Oupancy Sprinklered
(( ❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
/BUD
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
CJ ALT. 0 AD'N. 0 RPL. 0 MVE.
BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
SOURCE GAS
OF
9. VAL44/ UATI
8.
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Recd.
of Fjra1 d.
ELECTRIC
WATER
SEWER
Ownership �//USE CODE
Public 0 Private It]
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 con tion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE,TIONS
DATE OF APPLICATION leis 1' / `'/&_ SIGNATURE OF APPLICAN '-/y.>
SPECIAL APPROVALS
NAME DATE
Env. Health
Klo f K
Planning
Fire Marshall
Co. Enetic
10
Utilities
Plans xaminer
SEPA Checklist
41-14.teimiech iaA
4`
SPECIAL CONDITIONS:
-rpoo-x, i30 • &
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building .4420
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
*
* 2 C , 0
2n,:0
8 7.3 2
b. 4 7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
p,"2 Q 8 8 2
*20,013217-1
87,42-