1980, 06-05 Permit: 80-5477 Patio CoverJOB ADDRESS
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LOT BLOC
2.
O ER
3.
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
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIV PARCEL NUMBER/S
-, 1
� PHONE
''7 -3 ') ! L- .= is P 1 _t e� r� , , , .. -I ,,
A DRESS I '/�"d ja~24
ZIP
Actual Set Backs in Feet
�
� l�a
`'1 J -�/ tV L�
% ` -7
I
North South i East
CONTRACTOR
PHONE
Size of Parcel i
Zone Classification
.r
A
4. ADDRESS
ZIP
Type Const.
Occupancy
f Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation AQ
Building Area in Sq. Ft.
1
5.QO
ADDRESS
ZIP
Main FI or Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Dicks
Finished Basement
Unfin. Basement
6.
�~
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
---
/
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req -
WORK
rd --of EXEMPTION
I
A
ESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRI
WATER
SEWER
OWnership
USE CODE
9.
OF
I UTILITIES
I
I
Public ❑ Private IV
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
".74)
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 ��'�� i�'L� SIGNATURE OF APPLICANT K'a' L
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
v. Health -
Planning •.�J'.o`-1�C.L,C.��'V%'u /-2k)�'�"'�%�`,_[.�_ ���.�r�
Fire Marshall
Co. Engineer fi "-�y �� Q�
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
gp-6- 77
4 r.:
}6 5— 8G
61 79.
TOTAL $_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.6,-0.5%,u0 .47.7
DATE ISSUED PERMIT NO.
*16,OOa
TOTAL
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