1981, 01-30 Permit: 81A-1047 CarportPLAN NUMBER,
// 30/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
4.
JOB ADDRESS
6 f3 7 7 .ff
7 fl'
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISN� E'Vf`t ti AC or,
Ig r;Ob
oWLER
AJCkJ Orr --1o1\1
ADDRESS
CONTRACTR
AL 5\-.0O6 - o' 1 / az1.,7
PHO4E
PARCEL NUMBER/S --,� Yf i _ 5 9, 0
Actual Set Backs in Feet
1South [East
North
l W estr
PHONE
Size of Parcel
i2..AX 00
Zone ClaysssslficatiApn
ADDRESS
•/?'� O C'O NI 1\ r/-1.
DESIGNE,,
5. ADDRESS
ZIP
Tip} Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
22e
Building Area in Sq. Ft.
CD
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
,,/NEW ❑ ALT.
IGJ BLD. ❑ PLMB.
❑ AD'N.
D MECH.
❑ RPL.
0 M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. A
SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership
Public ❑ Private ❑
Location (Area)
USE CODE
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 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 INSPECTIONS %
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
n �S ltn
Planning
Fire Marshall
Co. E gineer
Utilities
Plans xaminer
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
).1.G. ?.2/4 —072. AL' r1-- Lir '22 F Fn
�I V -0 Coot.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ IU/r
PERMIT NUMBER
02*
•
4� - 1 x'4-7
* 1600
* 1600 to
95.82
01-27-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01,73.8-81
DATE ISSUED
10.478 *16.0.02F2
PERMIT NO. TOTAL
7 1
I,o?s 12,/ 13
9Lt\I (AO N t ,d
0