1982, 11-15 Permit: 82B-983 Carport PLAN NUMB. _:R —1APPLICATION/PERMIT PET BER
SPOKANE COUNTY BUILDING CODES DEPARTMENT �
e:,/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ( c_
' ti 7 0
1. IZ� I
vip,( ,J�- ,c� LEGAL DESCRIPTION — SEE ATTACHED 0
`
LOT BLOCK SUBDIVISION �J �� PARCEL NUMBER'S I/"1..1_ -- 7O(
2.
OWNER I PHONE ^ 1� i-0.1- "
3J
15ti kJ - 611 127014127014 ( 926 -33 % Q
ADD ESS P Actual Set Backs in Feet S — .i rr- R r..
- Iz. JAL,kJ >J ( 1 IWest
South C7 East West
CONTR CT R P ONE Size of Parcel Zone Classifi�atioon1 6 4i 7 9
4. � 01 )( I?, -to s ��1"�i(,`e
ADDRESS ZIP Type fnst. OMCypancy Spr nklered
JJ M I
:Nes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Are in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area / torgge _
.C_-___. .7 /
7 /JJ
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. — ..—
TYPE / No.Baths No. Stories No. Rooms No. of Dwellings
lE 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK (BLD 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not R�q'd.
of EXEMPTION C//
DESCRIBE WORK Enum. Dist. I Location (Area)
8 C t p�� ( h I //// FEES COLLECTED
VALUATIOI RCE GAS ELECTRIC )IATER SEWER Ownership `SE CODE
OF
9. UTILITIES fJ ��ei Public 0 Private d / Single $
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 4.2.L
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 INSPECT --___ 9 Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANce.
F 4. l� `✓ ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
Planning 0U
Mobile Home UJ
Fire Marshall J
Co67,
Ertg�ineer 1 Other (Specify)
Utilities 11\ 124I
rr (( 4, 7e
TOTAL $
Plans Examiner
1\10v1 r\ 2110 ' WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
- .ing Te4ci cia?t. PERMIT IS NONTRANSFERABLE 11 ':1 5'8 2 9 8,3 z'
*4 7. 0 0 ° -
` � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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AcL Number /755 ` -2706 -.5