1982, 05-18 Permit: 82A-3902 Patio CoverPLAN 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
1.
2.
3.
JOB ADDRESS
K tic IPtf 4!
LOT BLOC '1SUBDI ISI c l )1,11
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
E. Ladc�7rci
ADDRESS
E• 5 c t t'aj 1 eco coati
CONTRACTOR
It C L'ctr, Rv *k, rs CO m -fret c1r
4. ADDRESS
l.) , 3/c)�= r/-i-ynnn_� 2c1(<d
DESIGNER
NONE
cLA
ZIP
9ciao t,
Actual Set Backs in Feet
North (South lEast 1West
5.
PHONE
PGS -464
Size of Parcel 1 Zone Classification
ZIP
TypeConst.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
)(NEW ❑ ALT. ',AD'N. ❑ RPL. ❑ MVE.
'i BLD. ❑ PLMB. ❑ MECH. D M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
J-/
8. L } Yt c l PCOL/ C VOL,i
VALUATION SOURCE
9. /4.iiq0` ✓ UTILITIES
Enum. Dist.
ILocation (Area)
GAS ELECTRIC
WATER
SEWER
Ownership
Public ❑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 INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
No (►
SEPA Checklis
e mq�
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERAB
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
PERMIT NUMBER
62.A - 57°2--
02* *30.00
*30.00 o
*30.006
A *000
390,18
05-18-82
z 6479,
Single $
Building
Plumbing -
Mech.
Plan Check
SEPA
Mobile Home
2�
Other (Specify) 32 T pa 10 (0I!t' L'
TOTAL
$
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0`5 18`--I'82 390.22
DATE ISSUED PERMIT NO.
3 0, 0 0 t?.
TOTA L