1980, 07-15 Permit: 80-7100 Patio CoverAN NUMBER
JOB ADDRESS
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509),456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
77 LEGAL DESCRIPTION — SEE ATTACHED
SU 1visiviN PARCEL NUMBER/S
' PHONE
ZIP Actual Set Backs in Feet
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
testi
ng
SPECIAL CONDITIONS:
i
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT N VIIIER
80 -.to
02* *2050
*2050
to -
2
E *000 10
709,92
07-1580
z 6.479.
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*20.50COL 1-j
TOTAL
Z
u{..�
North South East
West
C9r,kTRACTZ
PHONE
Size of Parcel
Zone Classification
F,�-3J.2-�
'-4 'f j
1 4441d
LfL
4'
ADDRESS
ZIP
Type Const.
Occupancy
JSprinklered
67
�/ 0
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
V ation )�7
-.Z 51
Building Area in Sq. Ft.
-=-
;� `z,5
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks Finished Basement
Unfin. Basement
6.
J a
Le,
TYPE 1-1 NEW El ALT. AD'N. ❑ RPL. El MVE.
�I
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF \ ❑ OTHER
WORK ❑ BLD. 1:1PLMB. ElMECH. ElM.H. 11POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
n
ESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8 ;'!� C
VALUATION SOURCE
GAS ELECTRI C
WATER
SEWER
Ownership
USE CODE
o� OF
s� `% — OF
Public El Private 41
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
f;
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
Building
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 APPLICATION /�62 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
testi
ng
SPECIAL CONDITIONS:
i
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT N VIIIER
80 -.to
02* *2050
*2050
to -
2
E *000 10
709,92
07-1580
z 6.479.
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*20.50COL 1-j
TOTAL
4 a
7 . .1 _
/\
8 tstoRivc.E
1\1
, C)
9
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