1979, 07-09 Permit: 79-203 Patio Cover il'LAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
I SPOKANE COUNTY — BUILDING CODES DEPARTMENT —— s
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS0 2 * * 1 9.0 0
LEGAL DESCRIPTION — SEE ATTACHED
1 LOT BLOCK SUB'`j,DIV ONS J -0 PARCEL NUMBER/5 * 1 9 0 0 N
2. 3 /l0.5"�}/—UG-. ���
�.3.".-.i '/- Al k,14 4-XC....1.0, /c' F- xiL * 1 9.0 0 6
OWNER PHONE -
�/J���� y _ ' A 0,00 8
3. i_d`ivirt, � 1 A�YZfGvt tvX -;.."xi-OS%'. /4/g.:-' l lie �U,�4e C)PPoh-rosilty
ADDRESS ZIP / Required Set Backs in Feet , 2 0.2
/IP ' ,• /3 '.�C�•L-C(. '' el92 o(� , 5
North/ ' (South.-5 .2
4• East ,75.0, (West •"�!L
' 0 7—0 9—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. atiu .-, :,4: . 3 Lt .-ice . f. 4rr44_,),It-e1�- R 6479.
ADDRESSZIP Type Const. Occupancy Sprinklered
f ,L� fir. y (=Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuationc� Building Area in Sq. Ft.
5. 5D0— l ZIA0
ADDRESS ZIP DWL Area( 'Basement Area Garage Area I Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. El AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
Cl BLD. CI PLMB. CI MECH: CI M.H. ID POOL
of EXEMPTION r.N.,
DF. CRIBE WORK
,, Q j d FEES COLLECTED
VALUA9DN Source GAS I ELECTRIC WATER SEWER
of
9. Utilities
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
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 I••.I law regulating construction or the Plumbing
o ,
performance of construction. -
// ,
DATE 7 —...1 — 7 SIGNATU' -Arlt ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.H171/ 62
ce
SEPA ce
I—
Planning W
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a.
rn
Mobile Home z
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THISrprOMES A PERMIT. ^/ �n1 3 •
DATE OFFICIAL y '" "� " z * ��O O �'
APPROVED FOR ISSUANCE
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