1981, 09-10 Permit 81A-9181 Steel Siding, Soffit & FasciaPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT r7 IT; 219 5 (
nj NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
t.E. io,
LOT BLOC
2. 3
OW NE( Ll l
3. S
A RESS
o4
CONTR,)CTOR
4' AD EScv
Ay , c -k
DESIGNER
5. ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVIblupo PARCEL NUMBER/S
PHONG 'i-; hhn I G a l I E-xrna
CHANGE OF USE FROM
6.
ZIP
E
ctual Set Backs in Feet
Orth (South
ee of Parcel
Type Const. I Occup
Main Floor I Upper
❑yes ❑No ❑ Req -d.
'wilding Area in Sq. Ft.
TYPE❑ NEW ❑ ALT. ❑ AD -N. El RPL. 1:1 MVE. ' No. Baths I No. Stories I No. Rooms INo. of Dwellings)
OF
N
% WORK El BLEl1:1ElD. PLMB. MECH. M.H. ❑�jy(l OTHER
POOL l`�W1 r CERTIFICATE Req'd. Rec'o. Not Req'd.
l`1V of EXEMPTION
8. y
FEES COLLECTED
VALUATION SOVRCE GAS ELECTRIC WATER SEWER
[' Ownership USE CODE
9. 436,s,wUTILOITIES I Public 0Private ❑
Single $`-'��•�
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 Building
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
1/2 ATE OF APPLICATION • /D / SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE Plan Check
iV
PERMIT IS NONTRANSFERABOO
oeeeea �t evmeec nem vonn Bonen Wore ne icc��nurc
SEPA
Mobile Home
Other (Specify)
TOTAL $1
0.2* *5000
*5000 N
*5000
A *0.00
9180-4
09-11-81 _
;2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r 0^9-1111-81 928'1**5a0'n�,