1981, 04-14 Permit: 81A-3509 Siding, Soffit, Fascia, Shutters PLAN NUMBER ,�/ APPLICATION/PERMIT PERMIT NUMBER
/�'/g/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT eq 4 3 �
(C) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
X107 S . ci.)00 d ruff' LEGAL DESCRIPTION — SEE ATTACHED 2 * * 6 2 0 0
LOT BLOCK SUB IVISION PARCEL NUMBERS l
2. E.11 ^► 06Aii-Mt.* * 62Q0�
3. oW�"Har t l7 , Oar-47 r-47.5 PHONE
4108 A * 0 0 0 E
ADDRESS ZIPActual Set Backssj a F tt
4707 S /0c d ru fF ga06 ' ,`'�,"'�
North South East West �� 5 0 A'
CONTRACTOR PHONE Size of Parcel Zone Classification
4. lie-VC y &04/Ler's Ctn-fra cv r6 ei,A 5 -46 g� .___.� �._..._. ._..__ C 4 - 1 4-81
ADDRESS,/ !1/ //� / ,/ ZCJ�Q �/� Type Const. Occupancy Sprinklered 6 4 7 9
lv , 3io✓In Goni .Q /trb( d.. / -^ 1L1 V 1Z ❑Yes ❑No ❑ Req'd.
DESIGNER J 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
TYPENo.Baths No. _Stories No. Rooms No. of Dwellings
D NEW D ALT. ❑ AD'N. 0 RPL. 0 MVE. -- �–'
7. OF K4 OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL IP if
CERTIFICATE
of EXEMPTION
DESCRIBE WOR Enum. Dist. Location (Area)
8 C, � j ;` d a, J 7
VALUATI FEES COLLECTED
SOU&Jjt(�j..EC GAS LECTRIC WATER SEWER Ownership J USE CODE
9. 66-6-10 r 00 UTIF
LOITIES • Public 0 Private L77 Single $ "'/n
0?f400 '
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 .e
performance of construction.GSEE REVERSE SIDE FOR REQUIRED INSPECTION_ / Plumbing
Or
DATE OF APPLICATION ! P i ®l0 ( SIGNATURE OF APPLICANT A/ L ' / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n.
Planning D:j
Fire Marshall Mobile Home -.�
,�
Co. Engineer Other (Specify)
Utilities 607,00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui dingTechnic PERMIT IS NONTRANSFERAB! 0"41� }'4t'i8 '!l; 3 50.9g `" 6•
2. 0pAaF
�� f7-Th
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL •