1983, 04-21 Permit: 83A-3139 Siding, Shutters PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT -A - 37.
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS / €GAL DESCRIPTION - SEE ATTACHED
1. E . IC4S q O ` 3 � -1 co
.17
2. LOT BLOCK SU DIVISION PARCEL NUMBER/S
7t:2 z iii - ,
OWNER PHONE
3. Len 1.0004. S• 6.Cn1Ci Le,- cls,`/- 445-711 2 * * 4 7.0 0
ADDRESS ZIP 1 / Actual Set Backs in Feet
. 14619- c7121 cy North (South East (West * 4 7.0 0 U
CONTRACTOR t PHONE Size of Parcel Zone Classification A 1 U
4. MC L''cui 6 r' ii rs CcinthE r fres, _Th c. 9d Si-4&iy6
ADDRESS I� ZIP Type Const. Occupancy Sprinklered 3 1 8
it,) • 3/c)C/ ahiJ 'hi'tx /Eva Lt_ (NJ- 61 ❑Yes ❑No ❑ Req'd. 1 () -G 1 -cJ3
DESIGNER PHONE Valuation Building Area in Sq. Ft. v
5. 4 7 9.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF I OTHER
WORK
0 BLD. ❑ PLMB. CI MECH. M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
� - of EXEMPTION
DES RIBE WOR Enum.Dist. I Location (Area) 1
8 FEES COLLECTED
V L LON SOURCE E ' orAS it.t-t:6514.4,/
WATER SEWER Ownership I USE CODE
9, J e! / .vim
UTILITIES Public 0 Private 0 Single $14 7 .-
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 the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATIONSIGNATURE OF APPLICANT
��
II/NI . z., 9 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
n_
Planning (Dis.)
Mobile Home "'
Fire Marshall a
'-
Co. Engineer Other(Specify)
Utilities �//
TOTAL $ `7"7 s
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
z.11114.414;.?Te "+L'2 } �� >3 3'1 .3 9
*47,0'0'd�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL