Pines N 2122 Southland Corp Canopy Addition
PLAN NUMBER APPL ICAT 10N / PERM IT ' PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDINa & SAFETY
NOpTM 611 JEFFER80N ! 8POKANE. WABHINOTON 9OM 1 (609) 458-W8
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARO TO MAKE 3 C4PIES
1 ADM PARCEL N0.
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~o eLocK sueavIsion~ LEaAI DE3CRIP'TION*
2.
OWNER ~1 t~+1~,~ D G~. PHONE L~G' PHONE
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3 MAlLINO AOOR 'P Acwml 8o1 Bedie lA Feet to
__jkW `1~5 No~nn Iswa~ lEnt ~ Woo 10
WN ACT N . LICENSE EIfPIAE3 •1 O~ ~ SbeclP~l to~_ Cia~itieilon Raidomw
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i ~ Z7,p ~ OWUPW-CY oYee n► ~ ,Re,,a
OESIONER PHONE NbwQmet Valwtla► RwrodetedYeluadon TotalBldg FloorArea
5 AODRESS ZIP Mdn Roa Upper Ftoae amp1Swrape Greenhauee
1
6 CHANGE OF U8E FRaM TO Oorer Oe* Lbv+► Deck Fln Bemment UMin 8asement
No 9a1b No Floav No Rn Rooma No Orwellinge
7 TYPE ~ N C ALT ❑ AO'N ❑ RPL ❑ MVE ~ER
OF BLO ~ PIMB 0 MECH 0 M H ❑ POOL c~rtnt a6~ ~rod r~❑ ru~ Number
WORK QVwUm Neoived YeeC No- 10
OESCAI E OFK SllorellneslFlood He~'d Plane Requirod~~
~ 8 ~I. f'~t~ ~ ve&O r~a~ic c aaoa~ea ~
~ vAluaTiON SOQF~ QAS EIECTAIC ~ Owne~tp FEES COLLECTED
wa~ o ~n~a
9; uriLmss w~vn~ a s~+ 0
I hereby certily thet t have read and examined this appHcation and heve read the "NOTICE" provlstons mcluded on
reverae sbe, and know the same to be lrue and correct All provielona ot lawa and ordinanoes Qoverning thte rype of Building
work will be complied with whether specffled hereln or not The granting of a permft does not presume ta pive au-
charity to v(otate or cancel the provistona of eny other afate or lasl lew regulating oonstructton or the performance
of c0nslruction SEE REV E& F ECUIRED SPECTIONS Plumbinp
SiGNaTURE OF APPLiCATION3 a~ $ Me~
la'ef'm= . A 0' , DATE ea~
OWNER OR AGENT
SPECIAL APPROVAIS SPECIAL CON01 S: (8EE REVERSE SIDE FOR NOTICE)
PREIIM FINAL DArE Ptan Check
Enw hfwtA
sEPa
Plenninp Modulerl
MFQ Nome
Fire
P►ereitt
Engrne► W2, l~1~1 A 4 a~ ~~l
1 TOTAL i
SEPA
pERMIT 18 NOMTRAN8FERABLE WMEN MACHINE VALIDATED IM TN{S SPACE,
plane THIS BECOMES A PERMIT.
El"" PERMiT IS NULL AND VOID IF WORK HAS NOT COMMENCEO
~ n0 IN 180 DAYS
aATe 18811 ~ oEIiMR NO