1981, 01-19 Permit: 81A-0616 Siding, Soffit, Fascia PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
///9/8/ ! h- Of f
6.1 SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
02 * * 6800
JOB ADDRESS
,. 1570 e LEGAL DESCRIPTION — SEE ATTACHED
. 1Ctvac� * 68. 00
LOT BLOCK SUBDI I ION PARCEL NUMBER/S 1-5r�"3 f, * 6 8 0 0
2. 7-2— � � W 1/` cod VVI 7 . I Cis. O1
NER PHONE ` A 0• -'
3. Ow � nl'iA 536 --CC,// �. a,' j'i le`
ADDRESS ! / ZIP/; Actual Set Backs in Feet 6 1. 5
15701 E . 5 / .?,.{HiQ /Way 9C3 7 North (South East (West 0 1 - 1 9-8
CONTRACTOR Vvv ""`7►��_� 7 L PHONE Size of Parcel Zone Classification
1'1r i� &rO Irs (_!'rdrad s 67g-.41-6a, 6 4 7 9.
4. Z Type Const. Occupancy Sprinklered
ADp R ESS /�/��yI 1,S/
N, lap /I„- oini /v�-ad q.,166 ❑Yes ❑No 0 Req'd.
DESIGNER /� WJ F 1 / -Ti PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF V OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK XBLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ✓
t 0l 'r-
of EXEMPTION
DES RISE WORK Enum.Dist. ILocation (Area) ' FEES COLLECTED
8- ->l�.,t✓rui I& 6 �- l
VALUATION OU RCE GAS ELECTRIC WATER SEWER Ownership USE CODE
947W.5-
. UTILOITIES Public ❑Private ❑ Single $ 4:1."r�
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.jSEE REVERSEQSIDE FOR REQUIRED INSPECTIONS Plumbing
/Z:
DATE OF APPLICATION i/i 5/v ( SIGNATURE OF APPLICANT 7Y Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 2
Planning
I Li
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities 1 aAO�
TOTAL $ `in
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
d'
ding T hnic '1 PERMIT IS NONTRANSFERABL" Q .9'7$li 4 6 1,6 z. r l' 6 8'x0.0 f q -
�_� PERMIT EXPIRES ONE YEAR FROM DATE Oi- ISSUANCE DATE ISSUED PERMIT' 4 TOTAL
ilrti