1983, 07-25 Permit: 83A-6911 Patio Cover, DeckPLAN NUMBER
c
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 STREETADDRESSr
LOT BLOCK
2.
SUBDIVISION
OWNER
G �.1
3.
MAILING ADDRESS
61Q,siA
CONT CT
4. --
ADDRESS
PHONE
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
PHONE
ZI
PHONE
ZIP
PHONE
ZIP
TO
TYPE ❑1,EW ❑ ALT. AD' N. ❑ RPL. MVE.
7. OF WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER
PARCEL NO.
-- 01 lv
LEGAL DESCRIPTION: (0,1 511 ruct\t
Actual Set Backs in Feet to:
North 'South
East
Size of Parcel
!7
Type
ncy
DESC
8.
VALUATION
9.
SOURCE
UTILITIES
ELECTRIC
WATER i SEWAG
PUBLIC II SEPTIC
PRIVATE ❑ SEWER ❑
Cover Deck
No. Baths
West
Zone Classification
Residential Y
Commercial ❑
Sprinklered
7 -Yes 0 N ❑ Req 'd.
Remodeled Valuation
Upper Floors
No. Floors
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑ No❑
Received Yes
Shorelines / Flood Hazard
Yes " Not Applic. ❑
Ownership
Public Cl 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
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
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
SIGNATURE OF t APPLICATIO �5—
OWNER OR AGENT 4/ Z G<.?� DATE 79,1
Number
Plans Required LT
Received
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
2)A- Ii
02* *2600
691.02
07-25-83
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-25-83
DATE ISSUED
691.12
PERMIT NO.
*26.00a'—
TOTAL
ti
-rte�rrK$
LEGAL DESCRIPTION GRNACRS IRR 01ST A PT -
OFkir "E-XK-F BEG ON- S.WLY 1N OF TR E SSRDEG 2.514 IN E150.9FT FROM
MOST HLY COR OF SD TR TH NODEG 3 4MIN E4 -77 -FT TH. N80E6 1811."1
H93k4FT MORL TO NWLY LN OF TR F 420FT NELY FROM MOST 4LY COR IR ETC.