1981, 01-27 Permit: 81A-866 Siding, Soffit, FasciaADDRESS
ZIP
Main Floor I
APPLICATION/ PERMIT
`ERM MSER
11L""""MBEH
CHANGE OF USE FROM TO
Area of Decks
Thiamine!64Semenf
1NDZC,
6.
I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
1
No. Baths
NORTH 511 JEFFERSON / SPOKANE, WASHINGTON 99360 / (509)456-36]5
No. Rooms
Ni of Dwellings
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe ADDRESS
YA
lo—
LEGAL DESCRIPTION — SEE ATTACHED
2 .500 v
CERTIFICATE
Rep'0.
RaCt1.
-e000 n
L
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IVE.
-DIVISION
PARCEL NUMBER/5
2.
DESCry BEWORjai
Enum. Dist.
Location(Area)
C
tJ0l7 0o
OWNER
J'
PHONE �� G.1A—,G,g3c
is 544 vv--``�J4N�
h .. .., .�
B. 1Illam
BILII<JI
L QJ/'VALUATION
a6-
AOORE55
UxI
SOURCE GAS ELECTRIC WATER SEOwnersM1lp USE CODE9.y
2(1/f(f� Actual Set Backs In Fee[
3/05
E. O"A,5,
, lO�-y No.tn $nntM1 Ea. WGI
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions Included
if
_
CONTRACTOR
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
PHONE Size of Parcel Zone Classification
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
6
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d - �S
6479
4. .V
q DRESS
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Mwell
21nP (n] fi�nn/ T�A Const (O�rompancy winklere0
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DESIGNER
Plan Check
PHONE Val aCmn Building gree In sp. F[.
SEPA
4(o6q.00
Planning
5.
Fire Mannan
Mobile Home
ADDRESS
ZIP
Main Floor I
Upper Floors
Garage Area I storage
_
CHANGE OF USE FROM TO
Area of Decks
Thiamine!64Semenf
IM1 allotment
00110
6.
I
1
No. Baths
No. Stories
No. Rooms
Ni of Dwellings
TYPE ❑ NEW El ALT. ❑ AWN. ❑RPL. ❑ MVE. �(
], OF $OTHER
WORN El BLD. ❑ PCMB. ❑ MECH. ❑ M.H. ❑POOLllj jY,jpublic
CERTIFICATE
Rep'0.
RaCt1.
Not Rep'E,
of EXEMPTION
DESCry BEWORjai
Enum. Dist.
Location(Area)
FEESCOLLECT£D
BILII<JI
L QJ/'VALUATION
UxI
SOURCE GAS ELECTRIC WATER SEOwnersM1lp USE CODE9.y
9.o UTILLIITIES O Private
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
_
Bolding
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
`
Mwell
DATE OF APPLICATION " —SIGNATURE OF APPLICANT _- 4
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
EnvHealth
SEPA
Planning
Fire Mannan
Mobile Home
Ca Eegioeer
Other Special
uruioe:
TOTAL $5d.(IG.
vans E.ammar
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Cnecknst
THIS BECOMES A PERMIT.
Bvn g rec nm / PERMIT IS NONTRANSFERABI
8'1 -2 7''as8 1.
1
8 66 l5 a 0 n �
PERMIT EXPIRES ONE YEAR FROM DATE 01 ISSUANCE
PATE ISSUED
PERMIT NO. TOTAL