1983, 06-10 Permit: 83A-5152 Porch Cover PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY e3� "sI:SZ.
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
Ci
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E • t4lte, tgrH 2cos -Zct ► 1
LOT B CK SUBDIVISION LEGAL DESCRIPTION:
2. q 4 i=Ar.:-.1 ---04-Ni..,N -z 14r)
WNER PHONE PHONE : i
TOA #) 1 t24?-4O`l C—E Q - -t77
3 NMAILIN3�GiADD,�RiESS //�,, ZIP Actual Set Backs in Feet to: i�fi Le---T r(�.i(� -- I
E ' L�I t e) t`1 -" ` e4 21 North ISouth East I West l ' , 7
CONTRACTOR �^ LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential lid'
-cou 2:14-44‘i C. f _5'C 7477-7Z Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
�•(>•.- C? ( '1 CI C� `�iQ 7 _ ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.V on cal Remodeled Valuation Total Bldg.Floor Area
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO �� Uncv.Deck Fin.Basement Unfin. asement
6.
TYPE ❑ NW 0 ALT. VAD'N. ❑ RPL. ❑ MVE. No.Baths —No.Floors l No.Fin.Rooms` No.Dwellings
7. OF ❑ OTHER 3
WORK BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required YesE No/ Number
or Variance Received Yes❑ Non
Y.,
DESCRIBE WORK Shorelines/Flood Hazard Plans Required D
8."--; jR.t- 'Xabtie2L (4' Zo) Yes❑ Not Applic.❑ Received ❑
VALUATION I SOURCE GAS ELECTRIC WATER
SEPT CGCE/ Ownership FEES COLLECTED
9• 1. OF PRIVATE 0 SEWER❑ Public 0 Private 0
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 Building .Z.0-CC'
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVERS-,DE FOR RE IRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATI
7WNER OR AG EN 6"% � E DAT �f� S'>3
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
oi_ CZuca. Ouse. Fil - -rieLC -'C. -N(3 SEPA
Planning Modular/
MFG.Home >
Fire a.
Prevent. O
LI
Engineer Other(Specify) W
9 J
Utilities LT-
2-6.
2-6
TOTAL $
SEPA
` L•41. JGC."( --Cc' c.E :1vS7cc_-c,otJ WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building 6/ I IN 180 DAYS q f� �t 0 8 3 c 5.2 z * 2 0 0 0
Tech. Cr// DATE UEPERMITOFfAL