HomeMy WebLinkAbout1980, 11-12 Permit 80B-3649 DeckPLAN 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 3 COPIES
4. ADDRESS
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JOB ADD IESS
7 W V Gck I bvAr
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f B OCt& SUBDIVISION
S G.o 11I Ii 00 f71-r 1 lieefk k�r�
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OWNER
ADDT2ES179I0 '
IhJ_ )j 'w
CONTR CTOR
L/ t� l
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
ZIP
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S p txzi— — I? +I
Actual Set Backs in Feet
North r 0 'South
Size of Parcel
x
East I i.% I W U
Zone Classification
Type Const. Occupancy
Valuation
Sprinklered
Oyes ❑No D Req'd.
Building Area in Sq. Ft.
Garagt.Area
Main Floor Upper Floors
Storage
TYPE
7. OF
WORK
DESCRIBE WORK
8.
VALUATi O
9.
❑ fjl E W
BLD.
D ALT.
❑ PLMB.
SOURCE
OF
UTILITIES
GAS
IJ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
ELECTRIC
❑ MVE.
❑ POOL
❑ OTHER
WATER
Area o Decks
No. Baths
Finished Basement Unfln. Basement
No. Stories
No. Rooms INo. of Dwellings
CERTI FICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
Req'd. Rec'd. Not Req'd.
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
E%ea It h
�
Pia
nninge&e )00
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
firt<K15 .Lk 1 l'iv3trio.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Ot r (Specify)
TOTAL $
PERMIT NUMBER
6 15Z-1
3(1,4
02* *2650
*2650 rfi
*26506
A ,*•0.00 8
002z
09=2:2-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1i11t,Ii =;80 3 6.49
DATE ISSUED PERMIT NO.
si2 6.50. —
TOTAL
-127
6,64 tcvop-: