1983, 10-13 Permit: 83B-388 Siding, Soffit, Fascia PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - Bl r2DiNG CODES DEPARTMENT g 38v
CYNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1 LOT BLOCK U DIVISION PARCEL NUMBER/S
2.
OW ERP ONE
3. o face_ bra 9/) ,
/ - 9c �
ADDRESS ZIP /_ Actual Set Backs in Feet
/y55 �� / 9/�/ North 'South EastZone Classification(West
CONTRACTOR PIONE Size of Parcel
DRESS^/ l /I ZIP
� Type Const. Occupancy Sprinklered
....21L'e? ��✓�ugi tura, gQQi- /qe.2/.Z. Dyes 0N 0 Req'd.
DESIGNER /� PHONE Valuation Building Area in Sq. Ft. 0 L * * 6 0 O
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage * 6 0 0� —
A
is
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. (' 1 :-
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. N( ('- 1 _ - ? 3
7. OF MOTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL �,y CERTIFICATE Req'd. Recd. Not Req'd. _ 6 /r 7
/l ✓CC.1ti of EXEMPTION
DESC 1 E WOR !!! Enum.Dist. Location (Area) 1
/ j/AKJ1 /J/C�} / jzor i i FEES COLLECTED
8. VA UATION SOURCE/i GAS �(/ ELECTRIC WATER SEWER Ownership USE CODE
yOF
,5;245 UTILIT IES Public 0 Private 0 /�'is OnSingle $!
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 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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ),Oil/ e..? SIGNATURE OF APPLICANT // / ,I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA o_
Planning
- ""1
Fire Marshall Mobile Home -I
.L
Co. Engineer Other (Specify)
Utilities
TOTAL $ �iD p
, OO
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
PA Checklist THIS,BECO_MES A PERMIT.
.6.Illy 1013-83 38.8.2 *68.00 °
cian PERMIT IS NONTRANSFERABLE _
_
TS PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL