1981, 06-26 Permit: 81A-6356 Carport, ShedPLAN NUMBE(S
•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (609) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
1.
LOT
2. Z
8 atSZAG Nogc*
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
Mnur.n Pt to VAI/ U3.
OWNER
3 Jciz2'-c MOON
ADDRESS
C . Sada NnQPA
PHONE
PARCEL NUMBER/5
0543-1402
ZIP
CICRWG
Actual Set Backs in Feet
1
North 4z 'South
East (West tZ
CONTRACTOR
AMC.
4 S
ADDRESS
DESIGNER
6. ADDRESS
PHONE
Size of Parcel
ZIP
Type Const.
Occupancy
111''
Zone Classification
SI M6CE, F n4ILy
Sprinklered
Dyes DNo 0 Req'd.
PHONE
ZIP
V4Wation
2504
MainiFloor
Building Area in Sq. Ft.
Upper Floors Garage Area
416 Cece
Storage
t 100
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
zIpEW
LJ BLD.
D ALT.
D PLMB.
liAD N.
0 MECH.
D RPL.
❑ M.H.
D MVE.
D POOL
0 OTHER
No. Baths
No. Stories
. 1
No. Rooms
No. of Dwellings
.t
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not R1q'd.
DESCRIBE WORK
8. iicTrACP } GARvaa-c SNO
VALUATION ELECTRIC
21so4
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
WATER
SEWER
�F''llG
Ownership /
Public 0 Private
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 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO.
DATE OF APPLICATION
Env
/ -
SIGNATURE OF APPLICANT
SPECIAL APPROVALS • SPECIAL CONDITIONS:
NAME DATE
Health
anning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklls
echnSlcian
.e
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
1
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other'(Specify)
0'36.OD.
TOTAL
$ 3S-oiS
PE R Mt r s'antgerj
81 A 'G3 '
02* *3800
*3800 v
*38006
A *000 8
635'52
0626-81.1
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1. 11 'r; 111( ! 1 J
Oibj�i�;6"=811i 6 3 562 1;3 8,'0 0 a H -
DATE ISSUED PERMIT NO. TOTAL
.c -yo fr
d' '- dam,
l-As7 Ro 6 ND6iR
THIS &or 13
/}LL LEVEL
No SGoPE 'AT ALL
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