1981, 04-21 Permit: 81A-3756 Siding, Soffit, FasciaPLAN 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. E.1303 Moro,
LOT
2.
BLOCK
7
SUBDIVISION
3.
LEGAL DESCRIPTION — SEE ATTACHED
�9Nr.9 fTasA n/G
OWNER
Li la -Sellers
'cal- -3a 1/
PARCEL NUMBER/S C77•54.3 — Q
S,/50', W 800 qc&•/5"Od
c
ADDRESS
E . -750 3 Nora
ZIP
99ao (,
Actual Set Backs In Feet _
North 'South East 'West
4.
5.
6.
CONTRACTOR
Meda��. &others Confracfar_s
ADDRESS 1i
Nf 3166 A-r-9onnt Rood
DESIGNF.R"
ADDRESS ,I.
•
CHANGE OF: USE FROM
TO
PHONE
9 -46 86
Size of Parcel 1 Zone Classification
PHONE •
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
Valuation I Building Area In Sq. Ft. •
ZIP
Main Floor
Upper Floors Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPE D'NEW 0 ALT. D AD N. 0 RPL. 0 MVE.
7, OF g
WORK »BLD. D PLMB. 0 MECH. 0 M.H. 0 POOL
_.OTHER
,f)Cfdlt,
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DES RISE WOR
8. J1Soo &.O-CLa.
VALUATION SOURCE / GAS ELECTRIC WATER
9. 5/�ii�,��+F
UTI LLIITI ES
Enum. Dist.
Location (Area)
SEWER
Ownersh i p
Public 0 Private 0
USE CODE
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 construction or th
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION I/ ! 7 g / SIGNATURE OF APPLICANT 76
SPECIAL;,APPROVALS SPECIAL CONDITIONS:
-.NAME DATE
Env. Health
Planning
Y!"
.Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABI
111
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $ 66 too
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $56.00
PERMIT NUMBER
19!/ \ - 3-7'f'
02* !*5600
• *5600
• *56006
A • *000
37558
04%21-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3.7 5.'6 z. 6,0.0 Zig-
DATE ISSUED PERMIT NO. TOTAL