1982, 03-09 Permit 82A-1597 Siding, FasciaPLAN NUMBER
APPLIC'TiON/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E • g'll7 T ('%C.Svn
2.
3.
LOT
BLOCK
SUBDIVISION
OWNER
(I Lrlc /Y)e l as 5
ADDRESS
5 17 , T4 ck. Svn
CONTRACTOR
4. PlC1. fSrC�/i�I.5 Ceti-rackr5, i7C
ADDRESS
/U. ,5106, Ifi-e-yonnevCcrC.
DESIGNER
5.
PHONE
`kV,-g iA
ZIP
PHONE
9c2 — g
ZIP
�94vf
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const.
Valuation
Occupancy
lEast
'West
Zone Classification
Sprinklered
❑Yes ❑No D Req'd_
Building Area in Sq. FL
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
O ALT_
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
T H E R
[[jj.� O_�
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd_
Not Req'd.
DE CRIBE WORK
8.G�&VALUATION SOURCE
19 7,? , 4,� UTILITIES
Q, OF
Enum. Dist. I Location (Area)
GASELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$4a. co
TOTAL $ 40,60
02* *40,00
* 40,00 N
* 40.006
A *0,00
159,6�
03-09-82
z 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Bui .'.g
PERMIT IS NONTRANSFERAB!
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
03-09=82 159,75 40.0,0
PERMIT NO.
TOTAL