1979, 07-31 Permit: 79-1384 Patio CoverPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
BLOCK SUBDIVISION
LOT
8
[e Tr(
LEGAL DESCRIPTION — SEE ATTACHED
OW�i£R
3. J�A�� ito e.
ADDRESS
E 1(442O 1(c''..4
4.
CONTRACT R
PHONE
�101� 4331
PARCEL NUMBER/S
9G"1-?-- - mod
ZI P
103-)
Required Set Backs in Feet
North (South
East
West 15
PHONE
Size of Parcel
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
1r M
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
r�O
ZIP
DWL Area I Basement Area
Garage A Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ W ❑ ALT. NJ AD'N. ❑ RPL. ❑ MVE.
D. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
DESCRI E WORK
1 c),( w --
A L UATJJ O� N
9.�lJl.�
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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.
DATE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE R�
Env. Health
Planning
7/.24/ 19
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 7--3/-7iOFFICIAL
FEES COLLECTED
Single $
Building 107 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
O
TOTAL $ /61
PERMIT NUMBER
DATE
02* *10,00
*1000
*10008
B *000
13a32
07-31-79
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS COMES A PERMIT.
'J /-31-79 138,42
*10,00°I-