1981, 03-23 Permit 81A-2643 Deck CoverPLAN NUMBER
FERMI I IVVrvitsCN
81A - 4-.5
(tJ
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
JOB ADDRESS
E. tdril?.. frE rate t t7, :i
LOT
BLOCK
SUBDIVISION
My RUN -140•4-CCS $
OWNER
3 �y nitEL, LEAQ..
ADDRESS '
5. Ityltz eataet IJ f"1
4.
CONTRACTOR
L.CAQ- N -r -
ADDRESS
. ZZ A uCr. ��TQ
DESIGNER
PHONE
«.L 1x�
ZIP
(C(7,
PHONE
3Zs--a183
ZI P
as zci1
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
b .l42 -- Zvv2
Actual Set Backs in F XtS 1 tiN
lC1
North South (East
Size of Parcel
1.2 Au r-c
Type Const.
Valud on
(4,20.00
Occupancy
West
Zone Classification
t NGLE ir�l�(y1 tt_`(
Sprinklered
❑Yes EINo ❑ Req'd.
Building Area in Sq. Ft.
�IU
5' ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
6.
CHANGE OF USE FROM
TO
Area of Decks
3ln c.ou Eu
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
4 NEW
BLD.
❑ ALT.
❑ PLMB.
AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE�pWORK
FtOO1TiOYV to 2_ 510FrvCE LDEL C.)vc.2"")
VALUATION SOURCE GAS ELECTRIC WATER
OF
g, Gi(�.oO OF
SEWER
5EPiiL_
CERTIFICATE
of EXEMPTION
Enum. Dist. Location (Area)
Ownership
Public ❑ Private
USE CODE
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 INSPECTION
('Z. 3 / 8 t
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Pla
Checklist
Building Technician
SIGNATURE OF APPLICAIjI�%�.�t�..a/CL� L .t-
Req'd.
Rec'd.
ot7q'
SPECIAL CONDITIONS: COtUe,2 DOER- InCISTI n3CN. -DC c >L 1^tCaiAQ.E® tr:41 `2 .c."d /Si=
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 4r1/400
Plumbing
()Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 15,00
02* *13,00
* 1 3,00 N
* 13.006
A *0,00 S
264.2
03-23-81
g. 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'3 - 2 '3 -81
DATE ISSUED
2613z *1100a-2 -
PERMIT NO. TOTAL