1983, 06-14 Permit: 83A-5232 Patio Roof PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT�" OF BUILDING & SAFETY
' ",
NORTH 811 JEFFERSON/SPO�7wNE**ASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1•
STET IcADDRESS Et PARCEL NO. o r5 4 _ 6q-2-2
LOT ' BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. /� gr. VPIA,"( �) ''(>�
,+
OWNER 1 1'(�` LA V/Ps cm
-+i b ' PHONE
3 MAq-, iiGf AAD f%SS . w c�-efl L�t.1 D -� s,^ 1 7EP,, _/^ Actual Set Backs in Feet to: r 1 ,e k,ii
I 1✓ i + 1 ' �` � G�",;j .�)�i North South !East I West
4• CO ITgACjQ�F, LICENSE EXPIRES PHONE Size of Parcel Zpne,Classifi t Residential
❑
ADDRESS • ZIP Typengt. Occncy !/1`�❑Y� Sprinklered❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 0 2 * * 2 ( 0
5.
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse * c' r, '0 0 ,
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
A r r
6. I(67Cs)
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑yEvv ❑ ALT. ,'MAD'N. ❑ RPL. ❑ MVE. `, ._ _. 1 l' – _,
7. OF BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El ❑ OTHER Certifi.of Exempt. Required Yes No❑ Number
WORK , or Variancef
Received Yes El Non
DESCRIBE RK ✓ (67,--tc-fit.1rs '/ Shorelines/Flood Hazard Plans Required❑
8 i-7 � � �, j y�� Yes❑ Not Applic.El Received ❑
VALUATION SOURCEO { GAS ELECTRIC —PUBLIEC. SEPT CGA, Ownership FEES COLLECTED
9 OF
PRIVATE❑ SEWER El Public❑Private•
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 guildin ......20work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- g
thority 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 INSPECTIONS Plumbing
SIGNATURE OF / / APPLICATION ::-/,--/-A.5
OWNER OR AGENT 6-7 `-"ct -C� Li tL/19(-'1- DATE Mech.
�jj
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health kU1
11) • SEPA
Planning
Modular/
Fire MFG.Home i-
Prevent. a
O
Engineer Other(Specify) C-)
W
—J
Utilities 2
- TOTAL $ —
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingI N 180 DAYS 0 6 - 14 -8 3 5 2 3,2 z *2 0. 0 0 2 F
Tech. ;® ? "\ �✓ ,i DATE ISSUED PERMIT NO. TOTAL