1982, 08-09 Permit: 82A-6918 Patio RepairPLAN NUMBER APPLICATION/PERMIT PER NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
fB ADDRESS
LOT B C
2.
OO W1l�
3.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION-� � ✓I PARCEL NUMBER/S t(o
PHONE jf�!j'�/J
ADDR�—; o ZIP Actual Set Backs in Feet
�J r T� North South East West
COrjTRAjCTOR PHONE' Size of Parcel Zone Classification
4' �,,`✓J:21 Typccupancy Sprrinklered
Y Yes NoAD P-vI
❑ Req'd.
DESIGNER PH NE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ❑ N W C3 ALT. 11 AD'N. RPL. [I MVE.
No. Baths No. Stories No. Rooms No. of Dwelling
7, OF ❑ OTHER
WORK BLD. ElPLMB. ElMECH. 1:1M.H. ❑POOL CERTIFICATE Req'd. I Recd. No eq'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. '0 Fiwykl P-1
VALUATI N SOURCE GA ELECTRIC WATER SEWER Ownership fjfUSE CODE
OF Public ❑ Private
9. O UTILITIES
Single $
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 iZ
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 re ing construction qr the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION �i Plumbing
DATE OF APPLICATION��'i� SIGNATURE OF APPLICANT ' J �.
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
g ygcnniciT _
SPECIAL CONDITIONS: r
cows- tAc
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ `�
02* *20,00
*2Q00�
A
691.72
0809-R2
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8 O;g-Vg2 691:82
*20.000 -